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Contact Information

DESTIN SURGERY CLINIC, P.A.
415 MOUNTAIN DRIVE
SUITE # 6
DESTIN, FL32541
 Phone: 850-837-8831
 Fax: 850-837-9137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DESTIN SURGERY CLINIC PA · (Female)

NPI Number 1457661605
Status Active
Credentials
Entity Individual
Enumeration date 10/20/2010
Last updated 10/20/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME0052108
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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