Organization
EMERALD COAST PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NEIL BLANCHARD M.D. (PRESIDENT)
(850) 863-7660
Entity
Organization
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7660
(850) 315-7808
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME66117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21346
BCBS
FL
Enumeration date
04/05/2006
Last updated
03/17/2008
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