Emerald Coast Infectious Diseases Medical Group, P.A.
Durable Medical Equipment & Medical Supplies in Destin, FL. Organization (NPI-2).
NPI number1548069263
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1548069263
- Entity type
- Organization (NPI-2)
- Legal business name
- Emerald Coast Infectious Diseases Medical Group, P.A.
- Organization subpart
- No
- Enumeration date
- Mar 13, 2025
- Certification date
- Feb 27, 2025
- Last updated
- Mar 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Other names
- American Medical Group (Doing Business As)
Practice location
137 Crystal Beach Dr Ste 121Destin, FL 32541-3573
Phone 850-807-4388
Mailing address
917 Mar Walt DrFort Walton Beach, FL 32547-6651
Phone 850-862-3979
Authorized official
Kelley Gear
Assistant Practice Manager
8508623979
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