| Organization Name: | OKALOOSA ACADEMY INC |
| NPI Number: | 1801091376 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANK WITTWER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 81 Roberts Blvd Fort Walton Beach |
| State: | FL US |
| Postal Code: | 325475118 |
| Phone Number: | 8508643133 |
| Fax Number: | 8508644305 |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |