EMERALD COAST PAIN SERVICES
NPI 1619269180
Specialist in Destin, FL

Active since May 03, 2011CLIA 10D2019839 · Waiver
3997 COMMONS DR W, SUITE M, DESTIN, FL 32541(850) 424-3769(850) 460-2491 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emerald Coast Pain Services NPPES

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

EMERALD COAST PAIN SERVICES (NPI 1619269180) is a healthcare organization registered as a specialist in Destin, Florida and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Angela Marie King, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619269180
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANESTHESIA INC
Location Address3997 COMMONS DR W, SUITE MDestin, FL 32541-8443
Mailing Address3997 Commons Dr W, Suite MDestin, FL 32541-8443 · (850) 424-3769 · Fax (850) 460-2491
Fax(850) 460-2491
Organization SubpartNo
Authorized OfficialAngela Marie KingOffice Manager · (850) 424-3769
Enumeration DateMay 3, 2011
Last NPPES UpdateJune 10, 2014
NPI 1619269180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME0068957
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3997 COMMONS DR W, Destin, FL 32541

Other Names 1

Doing Business AsEmerald Coast Pain Services

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 10D2019839

Anesthesia Inc · Destin, FL
Active · expires Oct 28, 2027
CLIA Number10D2019839
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorScott Haufe
Laboratory Phone(850) 424-3769
Laboratory LocationAnesthesia Inc3997 W Commons Dr Ste M, Destin, FL 32541
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Anesthesiology (Pain Medicine)
3997 COMMONS DR W, STE M
DESTIN, FL 32541
Social Worker (Clinical)
3997 COMMONS DR W, STE C
DESTIN, FL 32541
Social Worker (Clinical)
3997 COMMONS DR W, STE C
DESTIN, FL 32541
Counselor (Mental Health)
3997 COMMONS DR W, SUITE C
DESTIN, FL 32541
Counselor (Mental Health)
3997 COMMONS DR W, STE C
DESTIN, FL 32541
Community/Behavioral Health
3997 COMMONS DR W, SUITE C
DESTIN, FL 32541
Counselor (Mental Health)
3997 COMMONS DR W
DESTIN, FL 32541

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619269180, enumerated as an "organization" on May 03, 2011.

The provider is located at 3997 COMMONS DR W SUITE M DESTIN, FL 32541 and the phone number is (850) 424-3769.

Specialist with taxonomy code 174400000X.