Active NPI
Family Medicine Associates of the Emerald Coast P a
- Clinic/Center
- Fort Walton Beach, FL
National Provider Identifier
1013152487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- FAMILY MEDICINE ASSOCIATES OF THE EMERALD COAST P A
- Practice address
- 348 Miracle Strip Pkwy SW
Suite 23
Fort Walton Beach, FL 32548-5200 - Phone
- (850) 269-2186
- Fax
- (850) 269-2341
- NPI assigned
- Dec 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ana E Leurinda, MD
- Title
- Owner/Physician
- Phone
- (850) 269-2186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
348 Miracle Strip Pkwy SW
Suite 23
Fort Walton Beach, FL 32548-5200
Mailing address
PO Box 1646
Destin, FL 32540-1646
Phone (850) 269-2186
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1013152487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1646",
"city": "DESTIN",
"state": "FL",
"postal_code": "325401646",
"telephone_number": "850-269-2186",
"fax_number": "850-269-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 MIRACLE STRIP PKWY SW",
"address_2": "SUITE 23",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485200",
"telephone_number": "850-269-2186",
"fax_number": "850-269-2341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE ASSOCIATES OF THE EMERALD COAST P A",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-12",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "LEURINDA",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "850-269-2186",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.