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Contact Information

SACRED HEART MEDICAL GROUP
550 REDSTONE AVE W STE 320
CRESTVIEW, FL32536-6442
 Phone: 850-416-2477
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SACRED HEART MEDICAL GROUP

NPI Number 1073280657
LBN Legal business name SACRED HEART MEDICAL GROUP
Authorized official JEAN VALLIER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2021
Last updated 08/23/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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