EMERALD COAST RADIATION ONCOLOGY NPI 1891763108

NPI Information

  • NPI: 1891763108
  • Provider Name: EMERALD COAST RADIATION ONCOLOGY
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 7720 US HIGHWAY 98 W.
    SUITE 140
    DESTIN, FL
    ZIP 32550
  • Phone: (850) 622-0873

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NPI Details

EMERALD COAST RADIATION ONCOLOGY is a radiation oncology radiology in Destin, FL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. EMERALD COAST RADIATION ONCOLOGY NPI is 1891763108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7720 US HIGHWAY 98 W.
SUITE 140
DESTIN, FL
ZIP 32550-230
Phone: (850) 622-0873
Fax: (850) 622-1912

The provider's authorized official is Buddy Elmore .
The authorized official title is Cfo/secretary/treasurer and has the following contact phone number (850) 416-7638.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 2/5/2010.

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
12085R0001XRadiologyRadiation OncologyYes

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
1267422000MEDICAIDFLORIDA
2267422000-GROUPMEDICAIDFLORIDA
334450-GROUPMEDICARE PIN
4=========OTHERTAX ID NUMBER
534450MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 11/21/2025

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