Emerald Coast Emergency Physicians Llp
LBN: Emerald Coast Emergency Physicians Llp
Emerald Coast Emergency Physicians Llp is an health care organization with primary practice located at 1000 Mar-Walt Drive , Fort Walton Beach FL 32547-6795. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty.
Emerald Coast Emergency Physicians Llp can be contacted via phone (850) 862-1111, or through King, Derik K via phone (866) 916-5259.
Contact Information
Primary practice address
1000 Mar-Walt Drive
Fort Walton Beach FL 32547-6795
Phone: (850) 862-1111
Fax: (850) 862-9149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X |
Profile Details
| NPI number | 1750526398 |
|---|---|
| LBN Legal business name | Emerald Coast Emergency Physicians Llp |
| DBA Doing business as | |
| Authorized official | King, Derik K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2008 |
| Last updated | Sep 21st, 2009 - about 15 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750526398 | NPPES |
| Florida | Other | 72205 | BLUE SHIELD |
| Florida | MEDICAID | 000625801 | BLUE SHIELD |
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