EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
NPI 1720017882
Internal Medicine - Infectious Disease in Fort Walton Beach, FL
NPI Status: Active since July 01, 2006
Contact Information
917 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-3979
- Organization
- Internal Medicine
- Infectious Disease
- Accepts Insurance
- CLIA Number: 10D2341356
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-31-2028
About EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
This page provides the complete NPI Profile along with additional information for Emerald Coast Infectious Diseases Medical Group, P.a., an internist established in Fort Walton Beach, Florida operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1720017882 assigned on July 2006. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated March 2026. Emerald Coast Infectious Diseases Medical Group, P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Eric Squatrito (Ceo)
- NPI
- 1720017882
- Provider Name
- EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
- Entity Type
- Organization
- Location Address
- 917 MAR WALT DR FORT WALTON BEACH, FL 32547
- Location Phone
- (850) 862-3979
- Mailing Address
- 917 MAR WALT DR FORT WALTON BEACH, FL 32547
- Mailing Phone
- (850) 862-3979
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-01-2006
- Last Update Date
- 03-05-2026
- Code Navigator
An internist like Emerald Coast Infectious Diseases Medical Group, P.a. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 1025 Beal Pkwy N Ste C
Fort Walton Beach, FL 32547
(850) 374-3806 - 1025 Beal Pkwy N Ste A
Fort Walton Beach, FL 32547
(850) 374-8220 - 417 Racetrack Rd NW
Fort Walton Beach, FL 32547
(850) 862-3979 - 1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547
(850) 855-4048 - 1921 E Nine Mile Rd
Pensacola, FL 32514
(850) 999-5837 - 351 N Ferdon Blvd
Crestview, FL 32536
(850) 862-3979 - 1710 Lisenby Ave
Panama City, FL 32405
(850) 807-4420 - 137 Crystal Beach Dr Ste 121
Destin, FL 32541
(850) 807-4388
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RA0201X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 7 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-06 (Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
- BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-05 (Rewards) - POS
- BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-18 (Rewards) - POS
- BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
- BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
- BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2341356
- Facility Type
- Physician Office
- Certificate Effective Date
- April 01, 2026
- Certificate Expiration Date
- March 31, 2028
- Laboratory Director
- SCOTT E. ROJAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Emerald Coast Infectious Diseases Medical Group, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720017882, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720017882, enumerated as an "organization" on July 01, 2006.
The provider is located at 917 MAR WALT DR FORT WALTON BEACH, FL 32547 and the phone number is (850) 862-3979.
Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.
