Emerald Coast Radiation Oncology

LBN: Emerald Coast Radiation Oncology
Emerald Coast Radiation Oncology is an health care organization with primary practice located at 7720 Us Highway 98 W. Suite 140, Destin FL 32550-7230. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Emerald Coast Radiation Oncology can be contacted via phone (850) 622-0873, or through Elmore, Buddy via phone (850) 416-7638.

Contact Information

Primary practice address
7720 Us Highway 98 W. Suite 140 Destin FL 32550-7230
Phone: (850) 622-0873
Fax: (850) 622-1912
Website:
Map and Directions
Authorized official contact:
Name: Elmore, Buddy CFO
Phone: (850) 416-7638

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1891763108
LBN Legal business name Emerald Coast Radiation Oncology
DBA Doing business as
Authorized official Elmore, Buddy CFO
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2006
Last updated Feb 5th, 2010 - about 16 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 1891763108 NPPES
Florida MEDICAID 267422000
Florida MEDICAID 267422000-GROUP

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