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Northwest Florida Ent PA

Otolaryngology Physician in Fort Walton Beach, FL · enumerated 2015 · authorized official Jason Boole, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821466491

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Registry record

Entity type Organization (Type 2)
Legal business name Northwest Florida Ent PA
Practice address 310 Racetrack Rd Nw Ste 100, Fort Walton Beach, FL, 32547
Fax (850) 889-4549
Enumeration date Sep 12, 2015
Last updated in NPPES Apr 13, 2019

Taxonomy & classification

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License ME96773 (FL) Primary
207YS0012X Sleep Medicine (Otolaryngology) Physician Allopathic & Osteopathic Physicians · License ME96773 (FL) Secondary
207YX0602X Otolaryngic Allergy Physician Allopathic & Osteopathic Physicians · License ME96773 (FL) Secondary

Authorized official

Name Jason Boole
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-04-13. Verify at npiregistry.cms.hhs.gov.
Where is Northwest Florida Ent PA located?
The practice location on file with NPPES is in Fort Walton Beach, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-13.