Destin Surgery Clinic, P.A.

LBN: Destin Surgery Clinic, P.A.
Destin Surgery Clinic, P.A. is an health care organization with primary practice located at 415 Mountain Drive Suite # 6, Destin FL 32541. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Destin Surgery Clinic, P.A. can be contacted via phone (850) 837-8831, or through Moody, James A via phone (850) 837-8831.

Contact Information

Primary practice address
415 Mountain Drive Suite # 6 Destin FL 32541
Phone: (850) 837-8831
Fax: (850) 837-9137
Website:
Map and Directions
Authorized official contact:
Name: Moody, James A Doctor of Medicine (MD)
Phone: (850) 837-8831

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0052108 Florida

Profile Details

NPI number 1457661605
LBN Legal business name Destin Surgery Clinic, P.A.
DBA Doing business as
Authorized official Moody, James A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2010
Last updated Oct 20th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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