Organization
EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
Active
Other names
Bay Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY GEAR (ASSISTANT PRACTICE MANAGER)
(850) 862-3979
Entity
Organization
Contact information
Practice address
1326 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1139
(850) 855-4048
Mailing address
917 MAR WALT DR, FORT WALTON BEACH, FL 32547-6651
(850) 862-3979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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