Organization
EMERALD COAST INTERNAL MEDICINE AND GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD A EISA M.D. (MEDICAL DOCTOR)
(703) 598-6013
Entity
Organization
Contact information
Practice address
280 FOREST PARK CIR, PANAMA CITY, FL 32405-4919
(850) 896-9688
(850) 769-7717
Mailing address
PO BOX 419, LYNN HAVEN, FL 32444-0419
(850) 896-9688
(850) 769-7717
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME114732
FL
Other
Enumeration date
05/27/2014
Last updated
09/24/2014
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