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Organization
EMERALD COAST SLEEP DIAGNOSTICS
Active
Organization
EMERALD COAST SLEEP DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MCKENZIE ARNP (AUTHORIZED OFFICIAL)
(850) 866-9990
Entity
Organization
Contact information
Practice address
620 MCKENZIE AVE, PANAMA CITY, FL 32401-3062
(850) 518-7378
(850) 640-4187
Mailing address
620 MCKENZIE AVE, PANAMA CITY, FL 32401-3062
(850) 518-7378
(850) 640-4187
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
NULL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
05/11/2020
Last updated
10/26/2022
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