Emerald Coast Wellness Center, Llc

LBN: Emerald Coast Wellness Center, Llc
Emerald Coast Wellness Center, Llc is an health care organization with primary practice located at 138 Baywind Dr , Niceville FL 32578-4800. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Emerald Coast Wellness Center, Llc can be contacted via phone (850) 398-4155, or through Boilini, Henry Alexander via phone (850) 543-5678.

Contact Information

Primary practice address
138 Baywind Dr Niceville FL 32578-4800
Phone: (850) 398-4155
Fax: (850) 398-4142
Website:
Map and Directions
Authorized official contact:
Name: Boilini, Henry Alexander Doctor of Medicine (MD)
Phone: (850) 543-5678

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1417287855
LBN Legal business name Emerald Coast Wellness Center, Llc
DBA Doing business as
Authorized official Boilini, Henry Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2010
Last updated Sep 2nd, 2015 - about 9 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 1417287855 NPPES
Florida MEDICAID 008056800

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