Emerald Coast Neonatology Pa

LBN: Emerald Coast Neonatology Pa
Emerald Coast Neonatology Pa is an health care organization with primary practice located at 4250 Hospital Drive , Marianna FL 32446. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as the primary health care specialty. Emerald Coast Neonatology Pa can be contacted via phone (850) 265-9332, or through Sprague, Douglas via phone (850) 265-9332.

Contact Information

Primary practice address
4250 Hospital Drive Marianna FL 32446
Phone: (850) 265-9332
Fax: (850) 784-7706
Website:
Map and Directions
Authorized official contact:
Name: Sprague, Douglas Doctor of Medicine (MD)
Phone: (850) 265-9332

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME66820 Florida

Profile Details

NPI number 1285726091
LBN Legal business name Emerald Coast Neonatology Pa
DBA Doing business as
Authorized official Sprague, Douglas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285726091 NPPES
Florida Other 45706 BCBS FLORIDA
Florida MEDICAID 260912600 BCBS FLORIDA

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