Provider Demographics
NPI:1306382551
Name:WOMEN'S HEALTH OF THE EMERALD COAST LLC
Entity Type:Organization
Organization Name:WOMEN'S HEALTH OF THE EMERALD COAST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:850-460-8483
Mailing Address - Street 1:4495 FURLING LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-5384
Mailing Address - Country:US
Mailing Address - Phone:850-460-8483
Mailing Address - Fax:
Practice Address - Street 1:4495 FURLING LN
Practice Address - Street 2:SUITE 210
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-5384
Practice Address - Country:US
Practice Address - Phone:850-460-8483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty