| Emerald Waters Primary Care P.L.L.C. | |
|
7295 Navarre Pkwy Navarre FL 32566-7307 | |
| (850) 898-0149 | |
| Not Available |
| Full Name | Emerald Waters Primary Care P.L.L.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7295 Navarre Pkwy, Navarre, Florida |
| Authorized Official Name and Position | Wendy Mulky (MANAGER) |
| Authorized Official Contact | 8503410648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Waters Primary Care P.L.L.C. 7295 Navarre Pkwy Navarre FL 32566-7307 Ph: (850) 898-0149 | Emerald Waters Primary Care P.L.L.C. 7295 Navarre Pkwy Navarre FL 32566-7307 Ph: (850) 898-0149 |
| NPI Number | 1548924350 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 09/07/2023 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 0547653065 |
|---|---|
| Medicare Enrollment ID | O20220510000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548924350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| Provider Name | Alison Stotts Curtsinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578670980 PECOS PAC ID: 3577594696 Enrollment ID: I20100315000495 |
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