EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
NPI 1720017882
Internal Medicine - Infectious Disease in Fort Walton Beach, FL

Q: What is Emerald Coast Infectious Diseases Medical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since July 01, 2006CLIA 10D2341356 · Waiver

917 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 862-3979 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Jan 27, 2026, Feb 27, 2025 (3 updates tracked since 2025).

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About Emerald Coast Infectious Diseases Medical Group, P.a. NPPES

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

EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. (NPI 1720017882), doing business as American Medical Group, is a healthcare organization registered as an infectious disease in Fort Walton Beach, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 31, 2028, maintains 8 additional practice locations, and lists Eric Squatrito, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720017882

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NameEMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.

Location Address917 MAR WALT DRFort Walton Beach, FL 32547-6651

Mailing Address917 Mar Walt DrFort Walton Beach, FL 32547-6651 · (850) 862-3979 · Fax (850) 862-0605

Phone(850) 862-3979

Organization SubpartNo

Authorized OfficialEric SquatritoCeo · (850) 786-2270

Enumeration DateJuly 1, 2006

Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1720017882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X

Also ListedNurse PractitionerTaxonomy 363L00000X

917 MAR WALT DR, Fort Walton Beach, FL 32547

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Other Names 2

Doing Business AsAmerican Medical Group

Doing Business AsBay, Foot, And Ankle Center

Secondary Practice Locations 8

Location 11921 E Nine Mile RdPensacola, FL 32514-7747 · Phone (850) 999-5837 · Fax (850) 862-0605

Location 21326 Lewis Turner BlvdFort Walton Beach, FL 32547-1139 · Phone (850) 855-4048 · Fax (850) 855-4068

Location 3417 Racetrack Rd NWFort Walton Beach, FL 32547-4612 · Phone (850) 862-3979 · Fax (850) 862-0605

Location 41025 Beal Pkwy N Ste AFort Walton Beach, FL 32547-1481 · Phone (850) 374-8220 · Fax (850) 862-0605

Location 51710 Lisenby AvePanama City, FL 32405-3730 · Phone (850) 807-4420 · Fax (850) 862-0605

Location 6137 Crystal Beach Dr Ste 121Destin, FL 32541-3573 · Phone (850) 807-4388 · Fax (850) 862-0605

Location 71025 Beal Pkwy N Ste CFort Walton Beach, FL 32547-1481 · Phone (850) 374-3806 · Fax (850) 862-0605

Location 8351 N Ferdon BlvdCrestview, FL 32536-2727 · Phone (850) 862-3979 · Fax (850) 862-0605

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2341356

Emerald Coast Infectious Diseases Medical Group PA · Panama City, FL

Active · expires Mar 31, 2028

CLIA Number10D2341356

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorScott E. Rojas

Laboratory Phone(850) 786-2270

Laboratory LocationEmerald Coast Infectious Diseases Medical Group PA1710 Lisenby Avenue, Panama City, FL 32405

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. FERNANDO D SEGOVIA MD

Internal Medicine (Infectious Disease)