EMERALD COAST SLEEP DIAGNOSTICS NPI 1912529116

NPI Information

  • NPI: 1912529116
  • Provider Name: EMERALD COAST SLEEP DIAGNOSTICS
  • Classification: Otolaryngology - 207YS0012X
  • Specialization: Sleep Medicine
  • Entity Type: Organization
  • Address: 620 MCKENZIE AVE
    PANAMA CITY, FL
    ZIP 32401
  • Phone: (850) 518-7378

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NPI Details

EMERALD COAST SLEEP DIAGNOSTICS is a sleep medicine otolaryngology in Panama City, FL. The provider is an Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. EMERALD COAST SLEEP DIAGNOSTICS NPI is 1912529116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

620 MCKENZIE AVE
PANAMA CITY, FL
ZIP 32401-062
Phone: (850) 518-7378
Fax: (850) 640-4187

The provider's authorized official is Amber Mckenzie .
The authorized official title is Authorized Official and has the following contact phone number (850) 866-9990.

The enumeration date for this NPI number is 5/11/2020 and was last updated on 10/26/2022.

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
1363LA2200XNurse PractitionerAdult HealthNo
2363LG0600XNurse PractitionerGerontologyNo
3207YS0012XOtolaryngologySleep MedicineYes

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
1106159700MEDICAIDFLORIDA

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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