# EMERALD WATERS PRIMARY CARE P.L.L.C.

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

## Provider details

- **NPI number:** 1548924350
- **Authorized official:** WENDY MULKY (MANAGER)
- **Authorized official phone:** (850) 341-0648

## Contact information

- **Practice address:** 7295 NAVARRE PKWY, NAVARRE, FL 32566-7307
- **Practice address phone:** (850) 898-0149
- **Mailing address:** 7295 NAVARRE PKWY, NAVARRE, FL 32566-7307
- **Mailing address phone:** (850) 898-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 10/27/2021
- **Last updated:** 09/07/2023