OrganizationActive
Radiance of the Emerald Coast
NPI 1962803759 · Specialist · Fort Walton Beach, FL
Radiance of the Emerald Coast is a Specialist organization in Fort Walton Beach, FL (NPI 1962803759).
Provider details
- NPI number
- 1962803759
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Candace Cooley, Physician(850) 586-7661
- License
- ME77965 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
348 Miracle Strip Pkwy Sw Ste 15
Fort Walton Beach, FL 32548-5258
Phone: (850) 586-7661
Approximate (ZIP-level) locationGet directions
Mailing address
348 Miracle Strip Pkwy Sw Ste 15
Fort Walton Beach, FL 32548-5258
Registry dates
- Enumerated
- 2014-09-11
- Last updated
- 2014-09-11
Frequently asked questions
- What is Radiance of the Emerald Coast's NPI number?
- Radiance of the Emerald Coast's National Provider Identifier (NPI) is 1962803759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiance of the Emerald Coast?
- Radiance of the Emerald Coast is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Radiance of the Emerald Coast located?
- Radiance of the Emerald Coast's practice location on file with NPPES is 348 Miracle Strip Pkwy Sw Ste 15, Fort Walton Beach, FL 32548-5258.
- What is Radiance of the Emerald Coast's phone number?
- The practice phone number listed in the NPPES registry for Radiance of the Emerald Coast is (850) 586-7661.
- Who is the authorized official for Radiance of the Emerald Coast?
- The authorized official listed on Radiance of the Emerald Coast's NPPES record is Candace Cooley, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiance of the Emerald Coast's NPI active?
- Yes — Radiance of the Emerald Coast's NPI (1962803759) is active in the NPPES registry as of the last update on 2014-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.