Emerald Waters Medical Clinic Llc

LBN: Emerald Waters Medical Clinic Llc
Emerald Waters Medical Clinic Llc is an health care organization with primary practice located at 1005 College Blvd W Suite B, Niceville FL 32578-1060. The organization recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Emerald Waters Medical Clinic Llc can be contacted via phone (850) 279-6815, or through Stanton, Mauricia via phone (850) 582-6059.

Contact Information

Primary practice address
1005 College Blvd W Suite B Niceville FL 32578-1060
Phone: (850) 279-6815
Fax: (850) 279-6817
Website:
Map and Directions
Authorized official contact:
Name: Stanton, Mauricia ARNP
Phone: (850) 582-6059

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3114742 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP3114742 Florida

Profile Details

NPI number 1306192216
LBN Legal business name Emerald Waters Medical Clinic Llc
DBA Doing business as
Authorized official Stanton, Mauricia ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2012
Last updated Aug 3rd, 2022 - about 2 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.

Request for update

Popular Providers