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EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS P.A. NPI 1972583326


NPI Information

NPI: 1972583326
Provider Name: EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
339 RACETRACK RD NW
SUITE 12
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 864-3339
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EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A. is an orthopaedic surgery in Fort Walton Beach, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A. NPI is 1972583326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

339 RACETRACK RD NW
SUITE 12
FORT WALTON BEACH, FL
ZIP 32547-538
Phone: (850) 864-3339
Fax: (850) 864-1715

The provider's authorized official is Leo C Chen .
The authorized official title is President and has the following contact phone number (850) 864-3339.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 4/7/2017.


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
1207X00000XOrthopaedic SurgeryYes

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
1K3997MEDICARE 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: 11/14/2023

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