Emerald Coast PM&R Associates, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME91918 Issued in FL

Legal business name

EMERALD COAST PM&R ASSOCIATES, PA

Practice address

1101 Office Woods Dr
Pensacola, FL 32504-5937

Phone

(850) 956-6477

Fax

(850) 474-9060

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

David W Fisher, MD

Title

Medical Doctor

Phone

(956) 647-7178

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1346534518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901A N 9TH AVE STE 198",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046638",
            "telephone_number": "956-647-7178",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OFFICE WOODS DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045937",
            "telephone_number": "850-956-6477",
            "fax_number": "850-474-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST PM&R ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "956-647-7178",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME91918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Foot and Ankle Center PLLC
• Emerald Coast Infectious Diseases Medical Group, P.a.
• Emerald Coast Kids Therapy Group LLC
• Emerald Coast Medical Solutions LLC
• Emerald Coast Pediatric Primary Care, Inc
• Emerald Coast Therapy Centers, Inc.
• Emerald Gardens Home Alf LLC
• Emerald Gardens Properties, LLC
• Emerald Shores Counseling LLC
• Emergency Medicine Specialists PLC

• Physical Medicine & Rehabilitation Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.