Radiance Of The Emerald Coast

LBN: Radiance Of The Emerald Coast
Radiance Of The Emerald Coast is an health care organization with primary practice located at 348 Miracle Strip Pkwy Sw Ste 15 , Fort Walton Beach FL 32548-5258. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Radiance Of The Emerald Coast can be contacted via phone (850) 586-7661, or through Cooley, Candace via phone (850) 586-7661.

Contact Information

Primary practice address
348 Miracle Strip Pkwy Sw Ste 15 Fort Walton Beach FL 32548-5258
Phone: (850) 586-7661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cooley, Candace
Phone: (850) 586-7661

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME77965 Florida

Profile Details

NPI number 1962803759
LBN Legal business name Radiance Of The Emerald Coast
DBA Doing business as
Authorized official Cooley, Candace
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2014
Last updated Sep 11th, 2014 - about 12 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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