Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emerald Coast Infectious Diseases Medical Group, PA

Organization Allergy & Immunology (Internal Medicine) Physician · NPI 1720017882

Emerald Coast Infectious Diseases Medical Group, PA is an Allergy & Immunology (Internal Medicine) Physician in Fort Walton Beach, Florida. Works from 9 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651
Phone: (850) 862-3979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 351 N Ferdon Blvd, Crestview, FL 32536-2727 — (850) 862-3979
  • 137 Crystal Beach Dr Ste 121, Destin, FL 32541-3573 — (850) 807-4388
  • 1326 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1139 — (850) 855-4048
  • 1025 Beal Pkwy N Ste A, Fort Walton Beach, FL 32547-1481 — (850) 374-8220
  • 417 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 — (850) 862-3979
  • 1025 Beal Pkwy N Ste C, Fort Walton Beach, FL 32547-1481 — (850) 374-3806
  • 1710 Lisenby Ave, Panama City, FL 32405-3730 — (850) 807-4420
  • 1921 E Nine Mile Rd, Pensacola, FL 32514-7747 — (850) 999-5837

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Gastroenterology Physician Taxonomy 207RG0100X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1720017882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Squatrito — Ceo · (850) 786-2270
Other names American Medical Group; Bay, Foot, And Ankle Center
NPI enumeratedJuly 1, 2006
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address917 Mar Walt Dr, Fort Walton Beach, FL 32547-6651