| Emerald Coast Gastroenterology, Pa | |
|
417a Racetrack Rd Nw Suite 2 Ft Walton Beach FL 32547-4612 | |
| (850) 863-5990 | |
| (850) 862-0041 |
| Full Name | Emerald Coast Gastroenterology, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 417a Racetrack Rd Nw, Ft Walton Beach, Florida |
| Authorized Official Name and Position | Andrew Franklin Ringel (PRESIDENT PHYSICIAN) |
| Authorized Official Contact | 8508635990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Gastroenterology, Pa 417a Racetrack Rd Nw Suite 2 Ft Walton Beach FL 32547-4612 Ph: (850) 863-5990 | Emerald Coast Gastroenterology, Pa 417a Racetrack Rd Nw Suite 2 Ft Walton Beach FL 32547-4612 Ph: (850) 863-5990 |
| NPI Number | 1417937525 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 11/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417937525 | NPI | - | NPPES |
| 377977700 | Medicaid | FL | |
| DS7915 | Other | FL | RRB MEDICARE - GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0068568 (Florida) | Primary |
Reddoch Williams Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Skipper Ave, Ft Walton Beach, FL 32547 Phone: 850-226-7117 Fax: 999-999-9999 |