# EMERALD COAST SLEEP DIAGNOSTICS

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

## Provider details

- **NPI number:** 1649806027
- **Authorized official:** AMBER MCKENZIE APRN (NURSE PRACTITIONER)
- **Authorized official phone:** (850) 518-7378

## Contact information

- **Practice address:** 620 MCKENZIE AVE, PANAMA CITY, FL 32401-3062
- **Practice address phone:** (850) 518-7378
- **Mailing address:** 620 MCKENZIE AVE, PANAMA CITY, FL 32401-3062
- **Mailing address phone:** (850) 518-7378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | NULL | Yes |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | — | Yes |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 08/05/2024