Emerald Coast Surgical Associates, Llc

LBN: Emerald Coast Surgical Associates, Llc
Emerald Coast Surgical Associates, Llc is an health care organization with primary practice located at 907 Mar Walt Dr Ste 2011 , Fort Walton Beach FL 32547-6756. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Emerald Coast Surgical Associates, Llc can be contacted via phone (850) 794-4572, or through Johnson, Matthew via phone (702) 719-9059.

Contact Information

Primary practice address
907 Mar Walt Dr Ste 2011 Fort Walton Beach FL 32547-6756
Phone: (850) 794-4572
Fax: (850) 794-4570
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Matthew Doctor of Medicine (MD)
Phone: (702) 719-9059

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1568375541
LBN Legal business name Emerald Coast Surgical Associates, Llc
DBA Doing business as
Authorized official Johnson, Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2026
Last updated Sep 23rd, 2026 - about last month

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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