EMERALD COAST WALK IN CLINIC LLC
NPI 1780478016
Clinic/Center in Lynn Haven, FL

NPI Status: Active since April 09, 2025

Contact Information

3890 JENKS AVE
LYNN HAVEN, FL
ZIP 32444
Phone: (850) 215-6400
Fax: (850) 215-4440

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  • Organization
  • Clinic/Center

About EMERALD COAST WALK IN CLINIC LLC

This page provides the complete NPI Profile along with additional information for Emerald Coast Walk In Clinic Llc, a provider established in Lynn Haven, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1780478016 assigned on April 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Waqas Faruqui (Practice Administrator)

NPI
1780478016
Provider Name
EMERALD COAST WALK IN CLINIC LLC
Entity Type
Organization
Location Address
3890 JENKS AVE LYNN HAVEN, FL 32444
Location Phone
(850) 215-6400
Location Fax
(850) 215-4440
Mailing Address
3890 JENKS AVE LYNN HAVEN, FL 32444
Mailing Phone
(850) 215-6400
Mailing Fax
(850) 215-4440
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2025
Last Update Date
04-09-2025

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WAQAS FARUQUI

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(850) 215-6400

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780478016
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160871602
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 7 + 1 + 6 + 0 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1780478016 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770780603DR. AYMEN AHMED KENAWY M.D.
Individual
Internal Medicine (Rheumatology)3890 JENKS AVE
LYNN HAVEN, FL 32444
(850) 215-6400
1033577374 AMANDA SIMMONS
Individual
Nurse Practitioner (Family)3890 JENKS AVE
LYNN HAVEN, FL 32444
(850) 215-6400
1386215085MRS. ASHLEY ANN FERRELL MSN, APRN, FNP-C
Individual
Nurse Practitioner (Family)3890 JENKS AVE
LYNN HAVEN, FL 32444
(850) 215-6400
1124361431 BILAL ISLAM M.D.
Individual
Family Medicine (Sports Medicine)3890 JENKS AVE
LYNN HAVEN, FL 32444
(850) 215-6400
1528461902 JENNIFER FOX NP
Individual
Nurse Practitioner3890 JENKS AVE
LYNN HAVEN, FL 32444
(850) 571-5202
1427346469EMERALD COAST RHEUMATOLOGY LLC
Organization
Internal Medicine (Rheumatology)3890 JENKS AVE
LYNN HAVEN, FL 32444
(850) 215-6400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780478016, enumerated in the NPI registry as an "organization" on April 09, 2025

The provider is located at 3890 Jenks Ave Lynn Haven, Fl 32444 and the phone number is (850) 215-6400

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on April 09, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.