Organization
EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
Active
Organization
EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONETTE MITCHEM (PRACTICE MANAGER)
(850) 438-1136
Entity
Organization
Contact information
Practice address
1110 AIRPORT BLVD, STE B, PENSACOLA, FL 32504-8649
(850) 438-1136
(850) 438-1148
Mailing address
1110 AIRPORT BLVD, STE B, PENSACOLA, FL 32504-8649
(850) 438-1136
(850) 438-1148
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275377400
—
FL
Enumeration date
10/06/2014
Last updated
02/28/2024
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