Emerald Coast Center For Neurological Disorders

LBN: Emerald Coast Center For Neurological Disorders
Emerald Coast Center For Neurological Disorders is an health care organization with primary practice located at 1110 Airport Blvd Ste B, Pensacola FL 32504-8649. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Emerald Coast Center For Neurological Disorders can be contacted via phone (850) 438-1136, or through Mitchem, Antonette via phone (850) 438-1136.

Contact Information

Primary practice address
1110 Airport Blvd Ste B Pensacola FL 32504-8649
Phone: (850) 438-1136
Fax: (850) 438-1148
Website:
Map and Directions
Authorized official contact:
Name: Mitchem, Antonette
Phone: (850) 438-1136

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1396148292
LBN Legal business name Emerald Coast Center For Neurological Disorders
DBA Doing business as
Authorized official Mitchem, Antonette
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2014
Last updated Feb 28th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396148292 NPPES
Florida MEDICAID 275377400

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