Organization Active NPI

Family Medicine Associates of the Emerald Coast P a

  • Clinic/Center
  • Fort Walton Beach, FL
National Provider Identifier
1013152487
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Aug 31, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.