Provider Profile
EMERALD COAST SURGERY CENTER
Ambulatory Surgical Center
FACILITY PROFILE
Accredited by: Accreditation Association for Ambulatory Health Care
Street Address
- 995 NW MAR WALT DR
FORT WALTON BEACH, FL 32547
County: Okaloosa - Phone: (850) 862-3096
Mailing Address
- 995 NW MAR WALT DR
FORT WALTON BEACH, FL 32547
County: Okaloosa - Phone: (850) 863-7887
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A Patient's Guide to a Hospital StayPatient Safety
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Facility Information:
| Facility/Provider Type: | Ambulatory Surgical Center | ||||||||||||
| Administrator: | ANNE E KACHELHOFFER | ||||||||||||
| Financial Officer: | JAMES ANDREW SPARKS | ||||||||||||
| Owner/Licensee: | EMERALD COAST SURGERY CENTER LP LTD | ||||||||||||
| Owner/Licensee Since: | 8/18/1997 | ||||||||||||
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| Profit Status: | For-Profit | ||||||||||||
| Management Company: | SVHS-SCA EMERALD COAST JV, LLC | ||||||||||||
| Manager Since: | 11/1/2022 | ||||||||||||
| Licensed Beds: | Not Available | ||||||||||||
| Bed Types: | Operating Rooms: 5 Recovery Beds: 9 | ||||||||||||
| AHCA Number (File Number): | 191 | ||||||||||||
| AHCA Field Office: | 01 | ||||||||||||
| License Number: | 966 | ||||||||||||
| Current License Effective: | 11/1/2024 | ||||||||||||
| Current License Expires: | 10/31/2026 | ||||||||||||
| License Status: | LICENSED | ||||||||||||
Services/Characteristics
Not Available
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 11/1/2022 | |||||
| 3/5/2019 | 2019003193 | Fine | Reporting | $300.00 | 3/25/2019 |
| 12/15/2017 | 2017015229 | Fine | Reporting | $500.00 | 1/16/2018 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.