OrganizationActive
4MD2 Physician Services of Fort Walton Beach LLC
NPI 1568420735 · Emergency Medicine Physician · Fort Walton Beach, FL
Provider details
- NPI number
- 1568420735
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Guy Hooper, President
Practice location
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone: (850) 863-7607
Fax: (205) 437-5998
Mailing address
Po Box 88452
Chicago, IL 60680-1452
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.