Organization
EMERALD WATERS PRIMARY CARE P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MULKY (MANAGER)
(850) 341-0648
Entity
Organization
Contact information
Practice address
7295 NAVARRE PKWY, NAVARRE, FL 32566-7307
(850) 898-0149
Mailing address
7295 NAVARRE PKWY, NAVARRE, FL 32566-7307
(850) 898-0149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/27/2021
Last updated
09/07/2023
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