Emerald Coast Diabetes & Nutrition Center
NPI 1700307550 · General Practice Physician · Fort Walton Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Emerald Coast Diabetes & Nutrition Center is a General Practice Physician organization in Fort Walton Beach, FL (NPI 1700307550).
Provider details
- NPI number
- 1700307550
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deanna Howard-Gonzalez, Owner(850) 374-7604
- License
- ND3885 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 951 S Ferdon BlvdCrestview, FL 32536-4507Phone: (850) 374-7604Fax: (850) 792-2545
Registry dates
- Enumerated
- 2017-07-02
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Frequently asked questions
- What is Emerald Coast Diabetes & Nutrition Center's NPI number?
- Emerald Coast Diabetes & Nutrition Center's National Provider Identifier (NPI) is 1700307550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emerald Coast Diabetes & Nutrition Center?
- Emerald Coast Diabetes & Nutrition Center is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Emerald Coast Diabetes & Nutrition Center located?
- Emerald Coast Diabetes & Nutrition Center's practice location on file with NPPES is 115 Miracle Strip Pkwy Se Unit 101, Fort Walton Beach, FL 32548-5976.
- What is Emerald Coast Diabetes & Nutrition Center's phone number?
- The practice phone number listed in the NPPES registry for Emerald Coast Diabetes & Nutrition Center is (850) 374-7604.
- Does Emerald Coast Diabetes & Nutrition Center accept Medicare?
- Emerald Coast Diabetes & Nutrition Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Emerald Coast Diabetes & Nutrition Center?
- The authorized official listed on Emerald Coast Diabetes & Nutrition Center's NPPES record is Deanna Howard-Gonzalez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emerald Coast Diabetes & Nutrition Center's NPI active?
- Yes — Emerald Coast Diabetes & Nutrition Center's NPI (1700307550) is active in the NPPES registry as of the last update on 2022-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.