10D0271526 CLIA NUMBER - EMERALD COAST ONCOLOGY AND HEMATOLOGY

Laboratory Demographics

CLIA Number: 10D0271526

Facility Name: EMERALD COAST ONCOLOGY AND HEMATOLOGY

Facility Address:
1024 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
Get Directions

Facility Phone Number: (850) 863-3148

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1861421919

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	10D0271526
LAB Type	PHYSICIAN OFFICE
Facility Name	EMERALD COAST ONCOLOGY AND HEMATOLOGY
Street	1024 MAR WALT DR
City	FORT WALTON BEACH
State	FL
ZIP	32547
Phone	(850) 863-3148

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 5/11/2023