Emerald Coast Pulmonology, PA

NPI #1114013018 in Crestview, Florida

Provider Information

NPI Number
1114013018
Entity Type
Organization
Organization Name
Emerald Coast Pulmonology, PA
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Oct 5, 2006
Last Updated
Mar 18, 2011

Practice Location

Address
502 E HICKORY AVE
State
Florida
ZIP Code
32536-2742
Phone
(850) 423-1311

Authorized Official

Name
LAURIE KOSZUTA
Title
DIRECTOR
Phone
(850) 423-1311

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Critical Care MedicineCritical Care Medicine
Internal Medicine - Pulmonary DiseasePulmonary Disease

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