Organization
EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
Active
Organization
EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
Active
Other names
Bay, Foot, and Ankle Center, American Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SQUATRITO (CEO)
(850) 786-2270
Entity
Organization
Contact information
Practice address
917 MAR WALT DR, FORT WALTON BEACH, FL 32547-6651
(850) 862-3979
Mailing address
917 MAR WALT DR, FORT WALTON BEACH, FL 32547-6651
(850) 862-3979
(850) 862-0605
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/01/2006
Last updated
03/05/2026
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