MEDICAL LOGIC FT WALTON, INC. (NPI# 1891055885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891055885 |
| Entity Type | Organization |
| Organization Name | MEDICAL LOGIC FT WALTON, INC. |
| Other Organization Name | AEROCARE |
| Practice Address |
922 Mar Walt Dr Ste 101 Fort Walton Beach FL 32547-6703 |
| Mailing Address |
3325 Bartlett Blvd Orlando FL 32811-6428 |
| Practice Telephone | 8508626277 |
| Practice Fax Number | 8508626279 |
| Mailing Telephone | 4072060040 |
| Mailing Fax Number | 4072060010 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | STEPHEN P GRIGGS (CEO, PRESIDENT) |
| Authorized Official Telephone | 4072060040 |
| Is Organization Subpart | Y |
| Parent Organization Name | AEROCARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
326880 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| AeroCare | Doing Business As Name - Organization |
| Medlogic Ft Walton | Other Name - Individual/Organization |
| Street Address |
922 MAR WALT DR STE 101 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649365669 | Gulf Medical Services. Inc. | Durable Medical Equipment & Medical Supplies | 320 Racetrack Rd Ne, Fort Walton Beach, FL 32547-2546 | 2006-10-04 |
| 1992092621 | Medical and Respiratory Services | Durable Medical Equipment & Medical Supplies | 922 Mar Walt Dr, Suite 101, Fort Walton Beach, FL 32547-6630 | 2011-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1477164283 | Florida Hospital Dme/rt, LLC | Durable Medical Equipment & Medical Supplies | 3715 Lake Center Dr, Mount Dora, FL 32757-2363 | 2020-08-14 |
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| 1285257436 | Trans Ox Inc | Durable Medical Equipment & Medical Supplies | 7343 Nw 54th St, Miami, FL 33166-4831 | 2020-05-22 |
| 1649819921 | Jared Rubin | Durable Medical Equipment & Medical Supplies | 6810 N State Road 7 Ste 137b, Coconut Creek, FL 33073-4304 | 2020-01-03 |
| 1225686900 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 33853 Sr 54 Ste 101, Zephyrhills, FL 33543-9105 | 2019-08-27 |
| 1811549108 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 8520 4th St N, St Petersburg, FL 33702-3102 | 2019-07-16 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1336613116 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 7723 Collier Blvd Unit 302, Naples, FL 34114-2771 | 2019-01-15 |
| 1609344647 | Special Care Medical of Sc, Inc. | Durable Medical Equipment & Medical Supplies | 5316 Lena Rd Ste 107, Bradenton, FL 34211-9438 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.