Family Life Ministries of NW Florida

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FAMILY LIFE MINISTRIES OF NW FLORIDA

Practice address

419 Racetrack Rd NW Ste a
Fort Walton Beach, FL 32547-4612

Phone

(850) 862-5455

Fax

(850) 862-6855

NPI assigned

Nov 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Douglas Strock Jr.

Title

Executive Director

Phone

(850) 862-5455

Specialties & licenses 1

Addresses

Other names 1

• Sozo Life Connection Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326119561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325490250",
            "telephone_number": "850-862-5455",
            "fax_number": "850-862-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 RACETRACK RD NW STE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474612",
            "telephone_number": "850-862-5455",
            "fax_number": "850-862-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE MINISTRIES OF NW FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STROCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-862-5455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sozo Life Connection",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edith Selden Ezell, OTR/L
• Phillip Falasca, CRNA
• Nicole Falkenstein
• Family & Child Development of Northwest Florida, Inc.
• Family and Child Development
• Family Medicine Associates of the Emerald Coast P a
• Heather Farmer
• Lince Favors VII
• Nadia Laia Feenstra, LCSW
• Robert P Feldman, M.D.

• Clinical Medical Laboratory in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.