Organization
EMERALD COAST MEMORY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID CHEKAOUI MD (MGRM)
(850) 737-1816
Entity
Organization
Contact information
Practice address
755 GRAND BLVD STE 105B278, MIRAMAR BEACH, FL 32550-1838
(850) 737-1816
Mailing address
755 GRAND BLVD STE 105B278, MIRAMAR BEACH, FL 32550-1838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME86872
FL
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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