Organization Active NPI

Emerald Coast Family Physicians LLC

  • General Practice Physician
  • Pensacola, FL
National Provider Identifier
1285172486
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0064337 Issued in FL
Legal business name
EMERALD COAST FAMILY PHYSICIANS LLC
Practice address
4785 N 9TH Ave
Pensacola, FL 32503-2497
Phone
(850) 476-0777
Fax
(850) 476-0777
NPI assigned
Feb 8, 2017
Last updated
Sep 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Dr. Lisbeth P Vernali, M.D.NPI 1003817685
Title
Owner
Phone
(850) 476-9691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0064337 FL Primary

Addresses

Primary practice location

4785 N 9TH Ave
Pensacola, FL 32503-2497

Mailing address

4785 N 9TH Ave
Pensacola, FL 32503-2497
Phone (850) 476-9691

National Provider Directory

National Provider Directory

Locations

4785 N 9th Ave
Pensacola, FL 32503
Phone (850) 476-9691

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1285172486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032497",
            "telephone_number": "850-476-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032497",
            "telephone_number": "850-476-0777",
            "fax_number": "850-476-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST FAMILY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "VERNALI",
        "authorized_official_first_name": "LISBETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-476-9691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0064337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.