EMERALD COAST PULMONOLOGY, PA
NPI 1114013018
Internal Medicine - Pulmonary Disease in Crestview, FL

Active since October 05, 2006
502 E HICKORY AVE, CRESTVIEW, FL 32536(850) 423-1311(850) 423-1313 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Coast Pulmonology, Pa NPPES

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

EMERALD COAST PULMONOLOGY, PA (NPI 1114013018) is a healthcare organization registered as a pulmonary disease in Crestview, Florida and active in the NPI registry since October 2006. The organization lists Laurie Koszuta, Director, as its authorized official.

NPPES Registry Identity

NPI1114013018
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameEMERALD COAST PULMONOLOGY, PA
Location Address502 E HICKORY AVECrestview, FL 32536-2742
Mailing Address502 E Hickory AveCrestview, FL 32536-2742 · (850) 423-1311 · Fax (850) 423-1313
Fax(850) 423-1313
Organization SubpartNo
Authorized OfficialLaurie KoszutaDirector · (850) 423-1311
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 18, 2011
NPI 1114013018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME63871
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME63871 (FL)
502 E HICKORY AVE, Crestview, FL 32536

Other Identifiers 1

Medicare ID-Type Unspecified28192FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
502 E HICKORY AVE
CRESTVIEW, FL 32536
Clinic/Center
502 E HICKORY AVE
CRESTVIEW, FL 32536
Nurse Practitioner (Family)
502 E HICKORY AVE
CRESTVIEW, FL 32536
Registered Nurse
502 E HICKORY AVE
CRESTVIEW, FL 32536
Nurse Practitioner
502 E HICKORY AVE
CRESTVIEW, FL 32536
Nurse Practitioner (Family)
502 E HICKORY AVE
CRESTVIEW, FL 32536

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 Pulmonology, PA's NPI number?

The NPI number for Emerald Coast Pulmonology, PA is 1114013018. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Emerald Coast Pulmonology, PA located?

Emerald Coast Pulmonology, PA is located at 502 E Hickory Ave, Crestview, FL 32536. The listed phone number is (850) 423-1311.

What is Emerald Coast Pulmonology, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Pulmonology, PA was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.