EMERALD COAST UROLOGY NPI 1891729026

NPI Information

  • NPI: 1891729026
  • Provider Name: EMERALD COAST UROLOGY
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 909 MAR WALT DR
    SUITE 1011
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (850) 863-3377

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NPI Details

EMERALD COAST UROLOGY is an urology in Fort Walton Beach, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. EMERALD COAST UROLOGY NPI is 1891729026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

909 MAR WALT DR
SUITE 1011
FORT WALTON BEACH, FL
ZIP 32547-635
Phone: (850) 863-3377

The provider's authorized official is Leslie Cooper .
The authorized official title is Office Manager and has the following contact phone number (850) 863-3377.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 2/27/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyME0043999FLORIDAYes

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
147173MEDICARE ID-TYPE UNSPECIFIED
2C78505MEDICARE 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: 3/30/2025

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