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Contact Information

EMERALD COAST SLEEP DIAGNOSTICS
620 MCKENZIE AVE
PANAMA CITY, FL32401-3062
 Phone: 850-518-7378
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Sleep Disorder Diagnostic

261QS1200X
Indicates primary specialty

NPI Profile & details for EMERALD COAST SLEEP DIAGNOSTICS

NPI # 1649806027
LBN Legal business name EMERALD COAST SLEEP DIAGNOSTICS
Authorized official AMBER MCKENZIE - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2020
Last updated 08/05/2024 - More than a year ago
Identifiers
FL Medicaid 106159700
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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