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EMERALD COAST UROLOGY
NPI 1891729026
Urology in Fort Walton Beach, FL

Active since July 11, 2006
909 MAR WALT DR, SUITE 1011, FORT WALTON BEACH, FL 32547(850) 863-3377 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Coast Urology NPPES

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

EMERALD COAST UROLOGY (NPI 1891729026) is a healthcare organization registered as an urology in Fort Walton Beach, Florida and active in the NPI registry since July 2006. The organization lists Leslie Cooper, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891729026
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameEMERALD COAST UROLOGY
Location Address909 MAR WALT DR, SUITE 1011Fort Walton Beach, FL 32547-6635
Mailing Address909 Mar Walt Dr, Suite 1011Fort Walton Beach, FL 32547-6635 · (850) 863-3377
Phone(850) 863-3377
Organization SubpartNo
Authorized OfficialLeslie CooperOffice Manager · (850) 863-3377
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1891729026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME0043999
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
909 MAR WALT DR, Fort Walton Beach, FL 32547
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Other Identifiers 2

Medicare ID-Type Unspecified47173
Medicare UPINC78505FL

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

Other Providers at the Same Location NPPES 2

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

GENESISCARE USA OF FLORIDA LLC
Urology
909 MAR WALT DR, SUITE 1011
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 683-3377
ROBERT LAWRENCE LONG M.D.
Urology
909 MAR WALT DR, SUITE 1011
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-3377

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 Urology's NPI number?

The NPI number for Emerald Coast Urology is 1891729026. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Emerald Coast Urology located?

Emerald Coast Urology is located at 909 Mar Walt Dr Suite 1011, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-3377.

What is Emerald Coast Urology's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Urology was last updated on February 27, 2008. 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.