Organization
EMERALD ISLE PULMONARY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY G MORIARTY M.D. (PRESIDENT)
(850) 872-0502
Entity
Organization
Contact information
Practice address
221 E 23RD ST, SUITE B, PANAMA CITY, FL 32405-7612
(850) 872-0502
(850) 872-0677
Mailing address
PO BOX 9560, PANAMA CITY BEACH, FL 32417-9560
(850) 872-0502
(850) 872-0677
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME61983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15134
BCBS OF FLORIDA
FL
05
—
370919100
—
FL
Enumeration date
09/06/2006
Last updated
02/02/2010
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