Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC
NPI 1366377426
Internal Medicine - Gastroenterology in Fort Walton Beach, FL

Q: What is Northwest Florida Multispecialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since June 17, 2026CLIA 10D2287962 · Waiver

1000 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 862-1111 Get Directions Write a Review

NPPES record added: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Northwest Florida Multispecialty Physicians Llc NPPES

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

NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC (NPI 1366377426) is a healthcare organization registered as a gastroenterology in Fort Walton Beach, Florida and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Richard Dilalla, Vice President, as its authorized official.

NPPES Registry Identity

NPI1366377426

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameNORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC

Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708

Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7406

Phone(850) 862-1111

Organization SubpartYes

Authorized OfficialRichard DilallaVice President · (603) 531-2657

Enumeration DateJune 17, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1366377426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedSurgeryTaxonomy 208600000X

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

1000 MAR WALT DR, Fort Walton Beach, FL 32547

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2287962

Northwest Florida Multispecialty Physicians, LLC · Fort Walton Beach, FL

Active · expires Aug 17, 2027

CLIA Number10D2287962

Laboratory TypePhysician Office

Certificate Effective DateAugust 18, 2025

Certificate Expiration DateAugust 17, 2027

Laboratory DirectorEric Sandwith

Laboratory Phone(850) 862-3194

Laboratory LocationNorthwest Florida Multispecialty Physicians, LLC1032 Mar Walt Drive Suite 230, Fort Walton Beach, FL 32547

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA RUTH ANDERSON

Dietitian, Registered