| Emerald Coast Internal Medicine And Geriatrics Llc | |
|
280 Forest Park Cir Panama City FL 32405-4919 | |
| (850) 896-9688 | |
| (850) 769-7717 |
| Full Name | Emerald Coast Internal Medicine And Geriatrics Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 280 Forest Park Cir, Panama City, Florida |
| Authorized Official Name and Position | Emad A Eisa (MEDICAL DOCTOR) |
| Authorized Official Contact | 7035986013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Internal Medicine And Geriatrics Llc Po Box 419 Lynn Haven FL 32444-0419 Ph: (850) 896-9688 | Emerald Coast Internal Medicine And Geriatrics Llc 280 Forest Park Cir Panama City FL 32405-4919 Ph: (850) 896-9688 |
| NPI Number | 1114339074 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114339074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME114732 (Florida) | Primary |
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