# EMERALD COAST URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396865556
- **Authorized official:** DR. TIMOTHY PAUL NICHOLS M.D. (OWNER PRESIDENT)
- **Authorized official phone:** (225) 933-2044

## Contact information

- **Practice address:** 12598 HIGHWAY 98, SUITE 101, DESTIN, FL 32552
- **Practice address phone:** (850) 654-8878
- **Practice address fax:** (850) 654-8840
- **Mailing address:** 4520 JAMESTOWN AVE STE 3, BATON ROUGE, LA 70808-3214
- **Mailing address phone:** (225) 706-3033
- **Mailing address fax:** (225) 218-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 02/21/2023