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Contact Information

COASTAL PEDIATRIC GROUP
36468 EMERALD COAST PKWY UNIT 2101
DESTIN, FL32541
 Phone: 850-659-6556
 Fax: 850-249-1308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COASTAL PEDIATRIC GROUP

NPI Number 1417304643
LBN Legal business name COASTAL PEDIATRIC GROUP
Authorized official MARILYN SPRENKLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2016
Last updated 01/02/2019 - About 7 years ago
Identifiers
FL License # ME87333
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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