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EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP P.A. NPI 1720017882


NPI Information

NPI: 1720017882
Provider Name: EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
917 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-3979
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EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. is an infectious disease internal medicine in Fort Walton Beach, FL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. NPI is 1720017882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

917 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-759
Phone: (850) 862-3979

The provider's authorized official is Sandy Anastasio .
The authorized official title is Office Manager and has the following contact phone number (850) 862-3979.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 4/25/2008.


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
1207RI0200XInternal MedicineInfectious DiseaseYes

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
1K7442MEDICARE PINFLORIDA
2H20350MEDICARE 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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