| Emerald Medical, Llc | |
|
6200 20th St Ste 378 Vero Beach FL 32966-1014 | |
| (772) 307-9840 | |
| (786) 756-8419 |
| Full Name | Emerald Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6200 20th St Ste 378, Vero Beach, Florida |
| Authorized Official Name and Position | Amanda Lynn Espinal (COO) |
| Authorized Official Contact | 7723079840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Medical, Llc 2160 58th Ave # 318 Vero Beach FL 32966-4647 Ph: (772) 307-9840 | Emerald Medical, Llc 6200 20th St Ste 378 Vero Beach FL 32966-1014 Ph: (772) 307-9840 |
| NPI Number | 1720615693 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 1254754534 |
|---|---|
| Medicare Enrollment ID | O20200702002150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720615693 | NPI | - | NPPES |
| MH17648 | Other | FL | STATE OF FLORIDA |
| APRN11026541 | Other | FL | STATE OF FLORIDA |
| ME102761 | Other | FL | STATE OF FLORIDA LICENSE |
| HCC14445 | Other | FL | STATE OF FLORIDA |
| IMH23931 | Other | FL | STATE OF FLORIDA |
| MH22729 | Other | FL | STATE OF FLORIDA |
| SW15366 | Other | FL | STATE OF FLORIDA |
| PA9108369 | Other | FL | STATE OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Edil J Agosto Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609070978 PECOS PAC ID: 9739245168 Enrollment ID: I20090310000069 |
Coast Medical Centers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1193 South Federal Highway, Vero Beach, FL 32963 Phone: 772-999-2261 Fax: 772-999-3477 | |
Md Now Medical Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 21st St, Vero Beach, FL 32960 Phone: 772-299-1092 Fax: 772-978-1960 | |
Treasure Coast Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1553 Us Highway 1, Vero Beach, FL 32960 Phone: 772-257-8224 Fax: 772-213-3157 | |
Florida Respiratory-st Lucie Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1985 71st Ave, Vero Beach, FL 32966 Phone: 772-778-2101 Fax: 772-778-2102 | |
True Lily Health Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 21st St Sw, Vero Beach, FL 32968 Phone: 772-321-9789 | |
Timothy L Cocks Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 38th Ave, Vero Beach, FL 32960 Phone: 772-794-2227 | |
Ellen T Melvin Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 11th Cir Ste 103, Vero Beach, FL 32960 Phone: 772-569-6869 Fax: 772-569-8214 |