Emerald Coast Pulmonology, PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME63871 Issued in FL

Legal business name

EMERALD COAST PULMONOLOGY, PA

Practice address

502 E Hickory Ave
Crestview, FL 32536-2742

Phone

(850) 423-1311

Fax

(850) 423-1313

NPI assigned

Oct 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie Koszuta

Title

Director

Phone

(850) 423-1311

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1114013018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E HICKORY AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362742",
            "telephone_number": "850-423-1311",
            "fax_number": "850-423-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E HICKORY AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362742",
            "telephone_number": "850-423-1311",
            "fax_number": "850-423-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST PULMONOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "KOSZUTA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-423-1311"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME63871",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME63871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate Hope
• Nicoline Elkins, MS, ATC, LAT, CEP
• Emerald Coast Dermatology & Skin Surgery Center PA
• Emerald Coast Heart & Afib, PLLC
• Emerald Coast Infectious Diseases Medical Group, P.a.
• Emerald Coast Urology, LLC
• Emerald Coast Women'S Center, P.L.
• Empowering Minds
• Empowering Minds Behavioral Services LLC
• Lilianna English

• Pulmonary Disease Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.