NORTHWEST FLORIDA ENT PA – Otolaryngology Physician, NPI 1821466491

NORTHWEST FLORIDA ENT PA is a healthcare provider. based in Fort walton beach, Florida. specializing in Otolaryngology Physician. The organization holds a License No. ME96773 (FL). The NPI Number for NORTHWEST FLORIDA ENT PA is 1821466491

Main info

Organization
Name
NORTHWEST FLORIDA ENT PA
NPI
1821466491
Phone
(850) 889-4550
Address
310 RACETRACK RD NW
Authorized Official
JASON REDWOOD BOOLE PRESIDENT
Enumeration Date
12 September 2015
Last Update Date
13 April 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for NORTHWEST FLORIDA ENT PA

  • 310 RACETRACK RD NW

    FORT WALTON BEACH, FL 325471553

    Phone: (850) 889-4550

    Fax: (850) 807-5217

    Type: Mailing

  • 310 RACETRACK RD NW STE 100

    FORT WALTON BEACH, FL 325471553

    Phone: (850) 889-4550

    Fax: (850) 889-4549

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 32547)

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Frequently asked questions

What federal number belongs to NORTHWEST FLORIDA ENT PA?
The federal identifier for NORTHWEST FLORIDA ENT PA is NPI 1821466491.
Is NORTHWEST FLORIDA ENT PA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does NORTHWEST FLORIDA ENT PA list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for NORTHWEST FLORIDA ENT PA. Clinical services aligned with this taxonomy classification.
What location metadata exists for NORTHWEST FLORIDA ENT PA?
The page summarizes Fort Walton Beach, Florida for NORTHWEST FLORIDA ENT PA; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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