OrganizationActive
Ec Advanced Practice Nursing PLLC
NPI 1275463879 · Clinic/Center · Fort Walton Beach, FL
Provider details
- NPI number
- 1275463879
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Puett, Owner(850) 240-7145
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
25 Walter Martin Rd Ne Ste 201
Fort Walton Beach, FL 32548-4958
Phone: (850) 809-8062
Street-level locationGet directions
Mailing address
25 Walter Martin Rd Ne Ste 201
Fort Walton Beach, FL 32548-4958
Other names (DBA / former)
- Doing business as
- Realm Midlife & Menopause Medicine
Registry dates
- Enumerated
- 2026-05-23
- Last updated
- 2026-05-23
- Certified
- 2026-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.