Emerald Coast Diabetes & Nutrition Center
NPI 1700307550ActiveOrganization· General Practice· Fort Walton Beach, FL
General Practice in Fort Walton Beach, Florida, registered in NPPES in July 2017. The authorized official on file is Deanna Howard-Gonzalez, RD, LD, CDE, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700307550 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2017 |
| Last updated in NPPES | Sep 13, 2022 |
| Certified by provider | Sep 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Dietitian, Registered | 133V00000X | ND3885 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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