EMERALD COAST PULMONOLOGY PA NPI 1114013018

NPI Information

NPI: 1114013018
Provider Name: EMERALD COAST PULMONOLOGY, PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
502 E HICKORY AVE
CRESTVIEW, FL
ZIP 32536
Phone: (850) 423-1311
Get Directions

EMERALD COAST PULMONOLOGY, PA is a pulmonary disease internal medicine in Crestview, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. EMERALD COAST PULMONOLOGY, PA NPI is 1114013018. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

502 E HICKORY AVE
CRESTVIEW, FL
ZIP 32536-742
Phone: (850) 423-1311
Fax: (850) 423-1313

The provider's authorized official is Laurie Koszuta .
The authorized official title is Director and has the following contact phone number (850) 423-1311.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 3/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	ME63871	FLORIDA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	ME63871	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	28192	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »