Life Management Of Nw Fl, Inc.
May also be knows as Life Management Center Of Northwest Florida Inc
Psychiatry Physician in Marianna, FL(View on Map)
Legal Business Name
Life Management Of Nw Fl, Inc.
Also Known As
Life Management Center Of Northwest Florida Inc
NPI Number
1255367579
NPI Type
Organization
Enumeration Date
06/26/2006
Specialties
(Taxonomies)Code
2084P0800X
251S00000X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
525 E 15TH ST
4094 LAFAYETTE ST
City
Panama City
Marianna
State
FL
FL
Postal Code
32405-5412
32446-5648
Country
US
US
Telephone Number
(850) 522-4480
(850) 522-4480
Authorized Official
Name
Edwin Ailes
Title or Position
EXECUTIVE DIRECTOR
Telephone Number
(850) 522-4480
Identifiers
Identifier
060296570
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/29/2024
Provider Address
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May also be known as Life Management Center
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