Emerald Coast Wellness Center, LLC
Emerald Coast Wellness Center, LLC is a Geriatric Psychiatry Physician in Niceville, Florida. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
138 Baywind DrNiceville, FL 32578-4800
Phone: (850) 398-4155
Fax: (850) 398-4142
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|---|
| Geriatric Psychiatry Physician | Taxonomy 2084P0805X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1417287855 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Henry Boilini — Psychiatrist · (850) 543-5678 |
| NPI enumerated | January 7, 2010 |
| Last updated in NPPES | September 2, 2015 |
| Mailing address | 138 Baywind Dr, Niceville, FL 32578-4800 |