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Contact Information

EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
1110 AIRPORT BLVD
SUITE B
PENSACOLA, FL32504
 Phone: 850-438-1136
 Fax: 850-438-1148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS · (Female)

NPI Number 1750315701
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2006
Last updated 05/21/2026 - About 2 weeks ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 275377400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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