# EMERALD MEDICAL, LLC

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

## Provider details

- **NPI number:** 1720615693
- **Authorized official:** MS. AMANDA LYNN ESPINAL (COO)
- **Authorized official phone:** (772) 307-9840

## Contact information

- **Practice address:** 6200 20TH ST STE 378, VERO BEACH, FL 32966-1014
- **Practice address phone:** (772) 307-9840
- **Practice address fax:** (786) 756-8419
- **Mailing address:** 2160 58TH AVE \# 318, VERO BEACH, FL 32966-4647
- **Mailing address phone:** (772) 307-9840
- **Mailing address fax:** (786) 756-8419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/23/2020
- **Last updated:** 03/25/2024