OrganizationActive
Emerald Coast Infectious Diseases Medical Group, PA
NPI 1154773950 · Community/Retail Pharmacy · Fort Walton Beach, FL
Provider details
- NPI number
- 1154773950
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Emerald Coast Infectious Diseases
- Organization subpart
- Yes
- Authorized official
- Eric Squatrito, Vice President of Operations(724) 977-8498
- License
- PH30219 (FL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
917 Mar Walt Drive
Suite D
Fort Walton Beach, FL 32547
Phone: (850) 312-3570
Fax: (850) 312-3090
Street-level locationGet directions
Mailing address
1620 W. Northwest Hwy
Grapevine, TX 76051
Other names (DBA / former)
- Doing business as
- Synergy Specialty Pharmacy
- Doing business as
- Synergy Specialty Pharmacy
Registry dates
- Enumerated
- 2016-07-06
- Last updated
- 2025-03-03
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.