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Organization
EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A.
Active
Organization
EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO C CHEN M.D. (PRESIDENT)
(850) 864-3339
Entity
Organization
Contact information
Practice address
339 RACETRACK RD NW, SUITE 12, FORT WALTON BEACH, FL 32547-1538
(850) 864-3339
(850) 864-1715
Mailing address
339 RACETRACK RD NW, SUITE 12, FORT WALTON BEACH, FL 32547-1538
(850) 864-3339
(850) 864-1715
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/20/2006
Last updated
04/07/2017
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