Emerald Coast Pediatric Primary Care, INC
Clinic/Center, Primary Care in Pensacola, FL. Organization (NPI-2).
Details
- NPI
- 1912979519
- Entity type
- Organization (NPI-2)
- Legal business name
- Emerald Coast Pediatric Primary Care, INC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
5192 Bayou BlvdPensacola, FL 32503-2102
Phone 850-484-5040 · Fax 850-475-5527
Mailing address
5192 Bayou BlvdPensacola, FL 32503-2102
Phone 850-484-5040 · Fax 850-475-5527
Authorized official
Cathleen M. Farroll
Administrator
8504845040
Is something wrong?
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