# EMERALD COAST WOMEN'S CENTER, P.L.

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

## Provider details

- **NPI number:** 1659308468
- **Authorized official:** MS. RHONDA D JORDAN (OFFICE MANAGER)
- **Authorized official phone:** (850) 689-2223

## Contact information

- **Practice address:** 550 REDSTONE AVE W, SUITE 470, CRESTVIEW, FL 32536-6428
- **Practice address phone:** (850) 689-2223
- **Practice address fax:** (850) 689-2204
- **Mailing address:** 550 REDSTONE AVE W, SUITE 470, CRESTVIEW, FL 32536-6428
- **Mailing address phone:** (850) 689-2223
- **Mailing address fax:** (850) 689-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 08/22/2020