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

Emerald Coast Memory Clinic, LLC

Organization Psychiatry Physician · NPI 1962911651

Emerald Coast Memory Clinic, LLC is a Psychiatry Physician in Miramar Beach, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

755 Grand Blvd Ste 105B278
Miramar Beach, FL 32550-1838
Phone: (850) 737-1816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME86872 (FL)

Record details

NPI number1962911651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farid Chekaoui — Mgrm · (850) 737-1816
NPI enumeratedSeptember 25, 2017
Last updated in NPPESSeptember 25, 2017
Mailing address755 Grand Blvd Ste 105b278, Miramar Beach, FL 32550-1838

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