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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

NPI Number 1750315701
LBN Legal business name EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
Authorized official DANIEL ROSS - (OWNER PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2006
Last updated 05/21/2026 - About 2 weeks ago
Identifiers
FL Medicaid 275377400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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