Emerald Coast Diabetes & Nutrition Center
NPI #1700307550 in Fort Walton Beach, Florida
Provider Information
- NPI Number
- 1700307550
- Entity Type
- Organization
- Organization Name
- Emerald Coast Diabetes & Nutrition Center
- Primary Specialty
- General Practice
- Enumeration Date
- Jul 2, 2017
- Last Updated
- Sep 13, 2022
Practice Location
- Address
- 115 MIRACLE STRIP PKWY SE UNIT 101
- State
- Florida
- ZIP Code
- 32548-5976
- Phone
- (850) 374-7604
Authorized Official
- Name
- DEANNA HOWARD-GONZALEZ, RD, LD, CDE
- Title
- OWNER
- Phone
- (850) 374-7604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| General Practice |
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