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NORTHWEST FLORIDA ENT PA
NPI 1821466491
Otolaryngology in Fort Walton Beach, FL

Active since September 12, 2015
310 RACETRACK RD NW STE 100, FORT WALTON BEACH, FL 32547(850) 889-4550(850) 889-4549 Get Directions Write a Review

NPPES record last updated: April 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2019, Mar 17, 2018, Dec 26, 2017 (3 updates tracked since 2017).

About Northwest Florida Ent Pa NPPES

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

NORTHWEST FLORIDA ENT PA (NPI 1821466491) is a healthcare organization registered as an otolaryngology in Fort Walton Beach, Florida and active in the NPI registry since September 2015. The organization lists Jason Redwood Boole, President, as its authorized official.

NPPES Registry Identity

NPI1821466491
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameNORTHWEST FLORIDA ENT PA
Location Address310 RACETRACK RD NW STE 100Fort Walton Beach, FL 32547-1553
Mailing Address310 Racetrack Rd NwFort Walton Beach, FL 32547-1553 · (850) 889-4550 · Fax (850) 807-5217
Phone(850) 889-4550
Fax(850) 889-4549
Organization SubpartNo
Authorized OfficialJason Redwood BoolePresident · (850) 889-4550
Enumeration DateSeptember 12, 2015
Last NPPES UpdateApril 13, 20193 updates tracked since enumeration
✔ NPI 1821466491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in FL · ME96773
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License ME96773 (FL)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License ME96773 (FL)
310 RACETRACK RD NW STE 100, Fort Walton Beach, FL 32547
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. JASON REDWOOD BOOLE M.D.
Otolaryngology
310 RACETRACK RD NW STE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 889-4550
JULEE CLOUTIER ZORNES AUD
Audiologist-Hearing Aid Fitter
310 RACETRACK RD NW STE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 889-4550
MATTHEW WISNIEWSKI PTA
Physical Therapist
310 RACETRACK RD NW STE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 889-4550

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 Ent PA's NPI number?

The NPI number for Northwest Florida Ent PA is 1821466491. It was assigned to this organization in the NPPES registry on September 12, 2015.

Where is Northwest Florida Ent PA located?

Northwest Florida Ent PA is located at 310 Racetrack Rd NW Ste 100, Fort Walton Beach, FL 32547. The listed phone number is (850) 889-4550.

What is Northwest Florida Ent PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Northwest Florida Ent PA accept?

Health plans from Avera Health Plans and Medica list Northwest Florida Ent PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Florida Ent PA was last updated on April 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.