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Organization
EMERALD COAST PATHOLOGY ASSOCIATES PA
Active
Organization
EMERALD COAST PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NEIL BLANCHARD M.D. (PRESIDENT)
(850) 863-7660
Entity
Organization
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7660
(850) 315-7808
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME66117
FL
Other
Enumeration date
04/05/2006
Last updated
03/17/2008
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