EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA

917 MAR WALT DRIVE
SUITE D
FORT WALTON BEACH, FL 32547

Phone: 850-312-3570
Fax: 850-312-3090
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

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NPI Profile & details for EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA

NPI Number 1154773950

LBN Legal business name EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA

Authorized official ERIC SQUATRITO - (VICE PRESIDENT OF OPERATIONS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/06/2016

Last updated 03/03/2025 - More than a year ago

Identifiers

FL	License #	PH30219
FL	Medicaid	1165528300
	Other	2160919	PK

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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EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA

Contact Information

Specialty

Community/Retail Pharmacy

Pharmacy

NPI Profile & details for EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA

Reviews for EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, PA