OrganizationActive
Alw Enterprises, PA
NPI 1548820798 · Primary Care Clinic/Center · Niceville, FL
Provider details
- NPI number
- 1548820798
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Virginia Hauser, Practice Manager(850) 252-4303
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
1001 College Blvd W Ste B1
Niceville, FL 32578-1049
Phone: (850) 252-4303
Fax: (833) 963-2101
Approximate (ZIP-level) locationGet directions
Mailing address
1001 College Blvd W Ste B1
Niceville, FL 32578-1049
Other names (DBA / former)
- Doing business as
- Nab Life Health
- Doing business as
- Nab Life Health
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.