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NORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC
NPI 1043596091
Clinic/Center - Health Service in Crestview, FL

Active since October 21, 2011
120 W WOODRUFF AVE, CRESTVIEW, FL 32536(850) 482-1830 Get Directions Write a Review

NPPES record last updated: January 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Florida Diabetes & Nutrition Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC (NPI 1043596091) is a healthcare organization registered as a health service in Crestview, Florida and active in the NPI registry since October 2011. The organization lists Patricia Ann Fletcher, Mgrm, as its authorized official.

NPPES Registry Identity

NPI1043596091
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameNORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC
Location Address120 W WOODRUFF AVECrestview, FL 32536-3527
Mailing AddressPo Box 1854Crestview, FL 32536-7854 · (850) 482-1830
Phone(850) 482-1830
Organization SubpartNo
Authorized OfficialPatricia Ann FletcherMgrm · (850) 482-1830
Enumeration DateOctober 21, 2011
Last NPPES UpdateJanuary 11, 2014
✔ NPI 1043596091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
120 W WOODRUFF AVE, Crestview, FL 32536
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Florida Diabetes & Nutrition Center, LLC's NPI number?

The NPI number for Northwest Florida Diabetes & Nutrition Center, LLC is 1043596091. It was assigned to this organization in the NPPES registry on October 21, 2011.

Where is Northwest Florida Diabetes & Nutrition Center, LLC located?

Northwest Florida Diabetes & Nutrition Center, LLC is located at 120 W Woodruff Ave, Crestview, FL 32536. The listed phone number is (850) 482-1830.

What is Northwest Florida Diabetes & Nutrition Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Northwest Florida Diabetes & Nutrition Center, LLC was last updated on January 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.