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Organization

EMERALD COAST PEDIATRICS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARI WHITE (OFFICE MANAGER)
(850) 623-5437
Entity
Organization

Contact information

Practice address
4860 WOODBINE RD, SUITE 1 & 2, PACE, FL 32571-8709
(850) 995-8087
(850) 994-5292
Mailing address
5834 BERRYHILL RD, MILTON, FL 32570-8275
(850) 995-8087
(850) 994-5292

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME87749
FL

Other

Enumeration date
06/04/2007
Last updated
08/22/2020
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