Radiance of the Emerald Coast
Radiance of the Emerald Coast is a Specialist in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
348 Miracle Strip Pkwy SW Ste 15Fort Walton Beach, FL 32548-5258
Phone: (850) 586-7661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence ME77965 (FL) |
|---|
Record details
| NPI number | 1962803759 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Candace Cooley — Physician · (850) 586-7661 |
| NPI enumerated | September 11, 2014 |
| Last updated in NPPES | September 11, 2014 |
| Mailing address | 348 Miracle Strip Pkwy Sw Ste 15, Fort Walton Beach, FL 32548-5258 |
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