ABC PEDIATRICS OF OKALOOSA
NPI 1326418336
Pediatrics - Adolescent Medicine in Crestview, FL

Q: What is Abc Pediatrics Of Okaloosa's NPI number?

The NPI number for Abc Pediatrics Of Okaloosa is 1326418336. It was assigned to this organization in the NPPES registry on October 2, 2015.

Q: What is Abc Pediatrics Of Okaloosa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since October 02, 2015

182 E. REDSTONE AVE, SUITE B, CRESTVIEW, FL 32539(850) 689-0900(850) 689-0912 Get Directions Write a Review

NPPES record last updated: October 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Abc Pediatrics Of Okaloosa NPPES

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

ABC PEDIATRICS OF OKALOOSA (NPI 1326418336) is a healthcare organization registered as an adolescent medicine in Crestview, Florida and active in the NPI registry since October 2015. The organization lists Denise Mitchell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1326418336

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameABC PEDIATRICS OF OKALOOSA

Location Address182 E. REDSTONE AVE, SUITE BCrestview, FL 32539

Mailing Address2260 S Ferdon Blvd, Box 92Crestview, FL 32536-8457 · (850) 689-0900 · Fax (850) 689-0912

Phone(850) 689-0900

Fax(850) 689-0912

Organization SubpartNo

Authorized OfficialDenise MitchellOffice Manager · (850) 689-0900

Enumeration DateOctober 2, 2015

✔ NPI 1326418336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in FL · ME70831

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

182 E. REDSTONE AVE, Crestview, FL 32539

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Other Identifiers 1

Medicaid250009400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Abc Pediatrics Of Okaloosa's NPI number?

The NPI number for Abc Pediatrics Of Okaloosa is 1326418336. It was assigned to this organization in the NPPES registry on October 2, 2015.

Where is Abc Pediatrics Of Okaloosa located?

Abc Pediatrics Of Okaloosa is located at 182 E. Redstone Ave Suite B, Crestview, FL 32539. The listed phone number is (850) 689-0900.

What is Abc Pediatrics Of Okaloosa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Abc Pediatrics Of Okaloosa was last updated on October 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.