Organization
EMERALD COAST MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA FOSTER (OWNER)
(850) 420-2240
Entity
Organization
Contact information
Practice address
48 BALD EAGLE DR, SANTA ROSA BEACH, FL 32459
(850) 420-2240
Mailing address
48 BALD EAGLE DR, SANTA ROSA BEACH, FL 32459-8342
(850) 420-2240
(850) 344-9758
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7EHGC
FLORIDA BLUE
FL
Enumeration date
04/02/2017
Last updated
09/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up