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Organization

EMERALD COAST SLEEP DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER MCKENZIE APRN (NURSE PRACTITIONER)
(850) 518-7378
Entity
Organization

Contact information

Practice address
620 MCKENZIE AVE, PANAMA CITY, FL 32401-3062
(850) 518-7378
Mailing address
620 MCKENZIE AVE, PANAMA CITY, FL 32401-3062
(850) 518-7378

Taxonomy

Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106159700
FL
Enumeration date
03/18/2020
Last updated
08/05/2024
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