| Emerald Coast Sleep Disorders Center | |
|
907 Mar Walt Dr Suite 2021 Fort Walton Beach FL 32547 | |
| (850) 863-0006 | |
| (850) 863-0012 |
| Full Name | Emerald Coast Sleep Disorders Center |
|---|---|
| Speciality | Clinic/center - Sleep Disorder Diagnostic |
| Location | 907 Mar Walt Dr, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Angela Nauful (VP COMPLIANCE & CONTRACTING) |
| Authorized Official Contact | 7703092000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Sleep Disorders Center 99 Rosewood Dr Ste 245 Danvers MA 01923-4537 Ph: (978) 536-7400 | Emerald Coast Sleep Disorders Center 907 Mar Walt Dr Suite 2021 Fort Walton Beach FL 32547 Ph: (850) 863-0006 |
| NPI Number | 1477587111 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477587111 | NPI | - | NPPES |
| V00E8 | Other | FL | BCBS OF FLORIDA |
| 94735 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Primary |
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