Emerald Coast Neonatology Pa
Pediatric Critical Care Medicine
Emerald Coast Neonatology Pa is a Marianna, Florida based Pediatric center with medical specialization in
Pediatric Critical Care Medicine.
It is located at
4250 Hospital Drive, Marianna, Florida - 32446. They can be contacted on phone at
850-265-9332 and fax number 850-784-7706.
NPI number (Unique professional ID) for Emerald Coast Neonatology Pa is
1285726091 which was assigned by NPPES on 29 Sep, 2006 and it was last updated on 22 Jan, 2009.
Emerald Coast Neonatology Pa license number is
ME66820 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Florida.
Emerald Coast Neonatology Pa is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Emerald Coast Neonatology Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Emerald Coast Neonatology Pa |
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Business Address:
Emerald Coast Neonatology Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4250 Hospital Drive
Marianna, FL, 32446
United States |
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| Phone Number : | 850-265-9332 |
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| Fax Number : | 850-784-7706 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285726091 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Sep, 2006 |
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| Last Updated On : | 22 Jan, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Douglas Sprague |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 850-265-9332 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Emerald Coast Neonatology Pa are as mentioned. Primary taxonomy code for Emerald Coast Neonatology Pa is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | ME66820 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Emerald Coast Neonatology Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 260912600 | MEDICAID | FL | |
| 45706 | Other | FL | BCBS FLORIDA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 15789
Panama City, FL, 32406
United States |
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| Phone Number : | 850-265-9332 |
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| Fax Number : | 850-784-7706 |
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Business Location:
Patients can refer following map for directions to
Emerald Coast Neonatology Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.