Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emerald Coast Pulmonology, PA

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1114013018

Emerald Coast Pulmonology, PA provides Critical Care Medicine (Internal Medicine) Physician services in Crestview, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

502 E Hickory Ave
Crestview, FL 32536-2742 Not confirmed with CMS for 15 years — call before visiting
Phone: (850) 423-1311
Fax: (850) 423-1313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence ME63871 (FL)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence ME63871 (FL)

Record details

NPI number1114013018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Koszuta — Director · (850) 423-1311
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 18, 2011
Mailing address502 E Hickory Ave, Crestview, FL 32536-2742

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