Radiance of the Emerald Coast

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME77965 Issued in FL

Legal business name

RADIANCE OF THE EMERALD COAST

Practice address

348 Miracle Strip Pkwy SW Ste 15
Fort Walton Beach, FL 32548-5258

Phone

(850) 586-7661

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Candace Cooley

Title

Physician

Phone

(850) 586-7661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1962803759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 15",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485258",
            "telephone_number": "850-586-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 15",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485258",
            "telephone_number": "850-586-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE OF THE EMERALD COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-586-7661",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME77965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Primary Care PLLC (Quality Primary Care)
• Quality Urgent Care & Wellness PL
• Jessica Quick
• R Bradley Sheldon MD PA
• Tara Ann Rabitaille, MSW
• Caroline Daniela Radosz, N.D.,P.T.,D.P.T
• Haley Radovanovic
• Hamed David Rahmanie, MD
• Rajiv Tuladhar DMD Holdings, PLLC (Aspen Dental)
• Jessica Amanda Rambharose, MD

• Specialist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.