Emerald Coast Neonatology PA

Organization Pediatric Critical Care Medicine Physician · NPI 1285726091

Emerald Coast Neonatology PA is a Pediatric Critical Care Medicine Physician in Marianna, 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

4250 Hospital Dr
Marianna, FL 32446
Phone: (850) 265-9332
Fax: (850) 784-7706

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary)	Taxonomy 2080P0203X · Licence ME66820 (FL)

Record details

NPI number	1285726091
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Douglas Sprague — President · (850) 265-9332
NPI enumerated	September 29, 2006
Last updated in NPPES	January 22, 2009
Mailing address	Po Box 15789, Panama City, FL 32406