Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emerald Coast Diabetes & Nutrition Center

Organization Registered Dietitian · NPI 1700307550

Emerald Coast Diabetes & Nutrition Center is a Registered Dietitian in Fort Walton Beach, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

115 Miracle Strip Pkwy SE Unit 101
Fort Walton Beach, FL 32548-5976
Phone: (850) 374-7604
Fax: (850) 792-2545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 951 S Ferdon Blvd, Crestview, FL 32536-4507 — (850) 374-7604

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Registered Dietitian Taxonomy 133V00000X · Licence ND3885 (FL)

Record details

NPI number1700307550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna Howard-Gonzalez — Owner · (850) 374-7604
NPI enumeratedJuly 2, 2017
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address115 Miracle Strip Pkwy Se Unit 101, Fort Walton Beach, FL 32548-5976

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