Organization
EMERALD COAST PEDIATRICS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A VANOSTENBRIDGE M.D. (PRESIDENT)
(850) 623-5437
Entity
Organization
Contact information
Practice address
5834 BERRYHILL RD, MILTON, FL 32570-8275
(850) 623-5437
(850) 626-7803
Mailing address
5834 BERRYHILL RD, MILTON, FL 32570-8275
(850) 623-5437
(850) 626-7803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME55036
FL
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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