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EMERALD COAST FAMILY MEDICINE INC
NPI 1093937963
Family Medicine in Valparaiso, FL

Active since May 02, 2007CLIA 10D2166736 · Waiver
143 S JOHN SIMS PKWY, VALPARAISO, FL 32580(850) 729-3300(850) 729-3100 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Emerald Coast Family Medicine Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD COAST FAMILY MEDICINE INC (NPI 1093937963) is a healthcare organization registered as a family medicine in Valparaiso, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Deann Marie Castaneda, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093937963
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEMERALD COAST FAMILY MEDICINE INC
Location Address143 S JOHN SIMS PKWYValparaiso, FL 32580-1271
Mailing Address143 S John Sims PkwyValparaiso, FL 32580-1271 · (850) 729-3300 · Fax (850) 729-3100
Phone(850) 729-3300
Fax(850) 729-3100
Organization SubpartNo
Authorized OfficialDeann Marie CastanedaOffice Manager · (850) 729-3300
Enumeration DateMay 2, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1093937963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME97507
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
143 S JOHN SIMS PKWY, Valparaiso, FL 32580
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2166736

Emerald Coast Family Medicine · Valparaiso, FL
Active · expires May 22, 2027
CLIA Number10D2166736
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorValparaiso Castaneda
Laboratory Phone(850) 729-3300
Laboratory LocationEmerald Coast Family Medicine143 S John Sims Pkwy, Valparaiso, FL 32580
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Coast Family Medicine Inc's NPI number?

The NPI number for Emerald Coast Family Medicine Inc is 1093937963. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Emerald Coast Family Medicine Inc located?

Emerald Coast Family Medicine Inc is located at 143 S John Sims Pkwy, Valparaiso, FL 32580. The listed phone number is (850) 729-3300.

What is Emerald Coast Family Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Emerald Coast Family Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2166736) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emerald Coast Family Medicine Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.