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EMERALD COAST BONE DENSITOMETRY
NPI 1407878408
Radiology - Body Imaging in Fort Walton Beach, FL

Active since July 25, 2006
417 RACETRACK RD NW # B, FORT WALTON BEACH, FL 32547(850) 864-2663 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emerald Coast Bone Densitometry NPPES

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

EMERALD COAST BONE DENSITOMETRY (NPI 1407878408) is a healthcare organization registered as a body imaging in Fort Walton Beach, Florida and active in the NPI registry since July 2006. The organization lists Micki Glenn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407878408
Entity TypeOrganization
Primary Taxonomy2085B0100X
Legal Business NameEMERALD COAST BONE DENSITOMETRY
Location Address417 RACETRACK RD NW # BFort Walton Beach, FL 32547-4612
Mailing Address417 Racetrack Rd Nw # BFort Walton Beach, FL 32547-4612 · (850) 864-2663
Phone(850) 864-2663
Organization SubpartNo
Authorized OfficialMicki GlennOffice Manager · (850) 864-2663
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 11, 2007
✔ NPI 1407878408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License✔ Licensed in FL · ME0063572
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
417 RACETRACK RD NW # B, Fort Walton Beach, FL 32547
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Other Identifiers 2

Medicare ID-Type Unspecified18895FL
Medicare UPINF59017FL

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

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 Bone Densitometry's NPI number?

The NPI number for Emerald Coast Bone Densitometry is 1407878408. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Emerald Coast Bone Densitometry located?

Emerald Coast Bone Densitometry is located at 417 Racetrack Rd NW # B, Fort Walton Beach, FL 32547. The listed phone number is (850) 864-2663.

What is Emerald Coast Bone Densitometry's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Bone Densitometry was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.