Emerald Coast Diabetes & Nutrition Center

LBN: Emerald Coast Diabetes & Nutrition Center
Emerald Coast Diabetes & Nutrition Center is an health care organization with primary practice located at 115 Miracle Strip Pkwy Se Unit 101 , Fort Walton Beach FL 32548-5976. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Emerald Coast Diabetes & Nutrition Center can be contacted via phone (850) 374-7604, or through Howard-Gonzalez, Deanna via phone (850) 374-7604.

Contact Information

Primary practice address
115 Miracle Strip Pkwy Se Unit 101 Fort Walton Beach FL 32548-5976
Phone: (850) 374-7604
Fax: (850) 792-2545
Website:
Map and Directions
Authorized official contact:
Name: Howard-Gonzalez, Deanna RD, LD, CDE
Phone: (850) 374-7604

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND3885 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1700307550
LBN Legal business name Emerald Coast Diabetes & Nutrition Center
DBA Doing business as
Authorized official Howard-Gonzalez, Deanna RD, LD, CDE
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2017
Last updated Sep 13th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700307550 NPPES
Florida Other 1J0TM BCBS
Florida Other ND3885 BCBS

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