Organization Name: | NW FLORIDA LUNG ASSOCIATES, PA |
NPI Number: | 1093855587 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J. GIVEN (DOCTOR) |
Mailing Address: | 2010 Lewis Turner Blvd Fort Walton Beach |
State: | FL US |
Postal Code: | 325471352 |
Phone Number: | 8508633000 |
Fax Number: | 8508621621 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |