Emerald Coast Surgery Center

LBN: Emerald Coast Surgery Center, Lp
Emerald Coast Surgery Center is an health care organization with primary practice located at 995 Mar Walt Drive , Fort Walton Beach FL 32547. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Emerald Coast Surgery Center, Lp can be contacted via phone (850) 863-7887, or through Kachelhoffer, Anne via phone (850) 863-8165.

Contact Information

Primary practice address
995 Mar Walt Drive Fort Walton Beach FL 32547
Phone: (850) 863-7887
Fax: (850) 863-6645
Website:
Map and Directions
Authorized official contact:
Name: Kachelhoffer, Anne
Phone: (850) 863-8165

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 996 Florida

Profile Details

NPI number 1437114378
LBN Legal business name Emerald Coast Surgery Center, Lp
DBA Doing business as Emerald Coast Surgery Center
Authorized official Kachelhoffer, Anne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 27th, 2015 - about 10 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 1437114378 NPPES
Florida MEDICAID 0791423

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