OrganizationActive
Early Intervention Specialists of Northwest Florida, LLC
NPI 1063753572 · Early Intervention Provider Agency · Malone, FL
Provider details
- NPI number
- 1063753572
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Marcia Thompson, Owner(850) 209-5880
- License
- RN3076242 (FL)
Specialties & taxonomies
Agencies
Practice location
5170 12th Ave
Malone, FL 32445-3426
Phone: (850) 209-5880
Fax: (866) 521-4620
Approximate (ZIP-level) locationGet directions
Mailing address
5170 12th Ave
Malone, FL 32445-3426
Registry dates
- Enumerated
- 2013-03-07
- Last updated
- 2013-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.