Okaloosa Academy Inc

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

OKALOOSA ACADEMY INC

Practice address

81 Roberts Blvd
Fort Walton Beach, FL 32547-5118

Phone

(850) 864-3133

Fax

(850) 864-4305

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Frank Wittwer

Title

Executive Director

Phone

(850) 314-6571

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801091376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 LEWIS TURNER BLVD STE D",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471255",
            "telephone_number": "850-314-6571",
            "fax_number": "850-314-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 ROBERTS BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325475118",
            "telephone_number": "850-864-3133",
            "fax_number": "850-864-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKALOOSA ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITTWER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-314-6571",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael O'Quinn, FNP
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• Mackenzie Ogden, MS SLP
• Oia of Fort Walton
• Okaloosa County Council on Aging
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• Mary Lou Oreolt

• Student in an Organized Health Care Education/Training Program in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Student in an Organized Health Care Education/Training Program 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.