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Organization
EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
Active
Organization
EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
Active
Other names
American Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY GEAR (ASSISTANT PRACTICE MANAGER)
(850) 862-3979
Entity
Organization
Contact information
Practice address
137 CRYSTAL BEACH DR STE 121, DESTIN, FL 32541-3573
(850) 807-4388
Mailing address
917 MAR WALT DR, FORT WALTON BEACH, FL 32547-6651
(850) 862-3979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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