Emerald Coast Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME0043999 Issued in FL

Legal business name

EMERALD COAST UROLOGY

Practice address

909 Mar Walt Dr
Suite 1011
Fort Walton Beach, FL 32547-6635

Phone

(850) 863-3377

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Leslie Cooper

Title

Office Manager

Phone

(850) 863-3377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1891729026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MAR WALT DR",
            "address_2": "SUITE 1011",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476635",
            "telephone_number": "850-863-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MAR WALT DR",
            "address_2": "SUITE 1011",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476635",
            "telephone_number": "850-863-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-863-3377"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0043999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Speech Therapy LLC
• Emerald Coast Sports Medicine and Orthopaedics, P.a.
• Emerald Coast Support Coordinators, Inc.
• Emerald Coast Surgery Center, LP
• Emerald Coast TMS of Fort Walton Beach
• Emergency Providers Group LLC
• Empower Today Therapy LLC
• Encore Rehabilitation Inc
• Encore Rehabilitation Inc
• Zadie Mae Engelberger, PA

• Urology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.