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EMERALD COAST BONE DENSITOMETRY NPI 1407878408


NPI Information

NPI: 1407878408
Provider Name: EMERALD COAST BONE DENSITOMETRY
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
417 RACETRACK RD NW # B
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 864-2663
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EMERALD COAST BONE DENSITOMETRY is a body imaging radiology in Fort Walton Beach, FL. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. EMERALD COAST BONE DENSITOMETRY NPI is 1407878408. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

417 RACETRACK RD NW # B
FORT WALTON BEACH, FL
ZIP 32547-612
Phone: (850) 864-2663

The provider's authorized official is Micki Glenn .
The authorized official title is Office Manager and has the following contact phone number (850) 864-2663.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 10/11/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingME0063572FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
118895MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2F59017MEDICARE UPINFLORIDA

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: 11/14/2023

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