Organization · Type 2 NPI

Sacred Heart Medical GRP at Destin

Otolaryngology Physician · Pensacola, FL

NPI number 1205887650 Active

Practice location

4451 Bayou Blvd
Pensacola, FL 32503-2601

Fax (850) 475-4771

Mailing address

PO Box 2699, Healthplan Enrollment
Pensacola, FL 32513-2699

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1205887650

Sacred Heart Medical GRP at Destin's National Provider Identifier is 1205887650, issued on May 12, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Pensacola, FL. The record was last updated on Apr 11, 2012.