EMERALD COAST PEDIATRIC PRIMARY CARE, INC
NPI 1912979519
Clinic/Center - Primary Care in Pensacola, FL

Q: What is Emerald Coast Pediatric Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 07, 2006

5192 BAYOU BLVD, PENSACOLA, FL 32503(850) 484-5040(850) 475-5527 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Emerald Coast Pediatric Primary Care, Inc NPPES

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

EMERALD COAST PEDIATRIC PRIMARY CARE, INC (NPI 1912979519) is a healthcare organization registered as a primary care in Pensacola, Florida and active in the NPI registry since February 2006. The organization lists Cathleen M. Farroll, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912979519

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameEMERALD COAST PEDIATRIC PRIMARY CARE, INC

Location Address5192 BAYOU BLVDPensacola, FL 32503-2102

Mailing Address5192 Bayou BlvdPensacola, FL 32503-2102 · (850) 484-5040 · Fax (850) 475-5527

Phone(850) 484-5040

Fax(850) 475-5527

Organization SubpartNo

Authorized OfficialCathleen M. FarrollAdministrator · (850) 484-5040

Enumeration DateFebruary 7, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1912979519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

5192 BAYOU BLVD, Pensacola, FL 32503

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Other Providers at the Same Location NPPES 20

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

ROBERT K WILSON JR. MD

Pediatrics