Emerald Coast Walk in Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EMERALD COAST WALK IN CLINIC LLC

Practice address

3890 Jenks Ave
Lynn Haven, FL 32444-4701

Phone

(850) 215-6400

Fax

(850) 215-4440

NPI assigned

Apr 9, 2025

Organization subpart

No

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

Authorized official

Name

Waqas Faruqui

Title

Practice Administrator

Phone

(850) 215-6400

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1780478016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 JENKS AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444701",
            "telephone_number": "850-215-6400",
            "fax_number": "850-215-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JENKS AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444701",
            "telephone_number": "850-215-6400",
            "fax_number": "850-215-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST WALK IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "FARUQUI",
        "authorized_official_first_name": "WAQAS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-215-6400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne Downard, LMT
• Dr David Huston OD PA
• Dieumy Duclos
• Tong C. Duong, M.D.
• Emerald Coast Rheumatology LLC
• Emerald Shores Chiropractic LLC
• Frederick B Epstein, M.D.
• Jinan Erchid
• Excellence Physical Therapy LLC
• Helen D Ezelll, LPN, BA

• All providers in Lynn Haven, FL
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.