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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, P.A.

NPI Number 1457661605
LBN Legal business name DESTIN SURGERY CLINIC, P.A.
Authorized official JAMES MOODY - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2010
Last updated 10/20/2010 - About 16 years ago
Identifiers
FL License # ME0052108
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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