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

Emerald Coast Mood & Memory PA

Organization Psychiatry Physician · NPI 1710097704

Emerald Coast Mood & Memory PA is a Psychiatry Physician in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

922 Mar Walt Dr Ste 100
Fort Walton Beach, FL 32547-6630
Phone: (850) 226-4785
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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 ME 94223 (FL)

Record details

NPI number1710097704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Igleburger — President Owner · (850) 226-4785
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address922 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6630

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