Emerald Coast Pediatric Primary Care, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EMERALD COAST PEDIATRIC PRIMARY CARE, INC

Practice address

5192 Bayou Blvd
Pensacola, FL 32503-2102

Phone

(850) 484-5040

Fax

(850) 475-5527

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cathleen M. Farroll, R.N.

Title

Administrator

Phone

(850) 484-5040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912979519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5192 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032102",
            "telephone_number": "850-484-5040",
            "fax_number": "850-475-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032102",
            "telephone_number": "850-484-5040",
            "fax_number": "850-475-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST PEDIATRIC PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARROLL",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-484-5040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Coast Family Physicians LLC
• 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 PM&R Associates, PA
• Emerald Coast Therapy Centers, Inc.
• Emerald Gardens Home Alf LLC
• Emerald Gardens Properties, LLC
• Emerald Shores Counseling LLC

• Primary Care Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.