| Magnolia Medical Clinic P.a. | |
|
4012 Commons Dr W Destin FL 32541-8422 | |
| (850) 243-7681 | |
| (850) 243-0471 |
| Full Name | Magnolia Medical Clinic P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 4012 Commons Dr W, Destin, Florida |
| Authorized Official Name and Position | Crystal Weatherington (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8502430520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical Clinic P.a. 319 Green Acres Rd Ste 101 Fort Walton Beach FL 32547-1170 Ph: () - | Magnolia Medical Clinic P.a. 4012 Commons Dr W Destin FL 32541-8422 Ph: (850) 243-7681 |
| NPI Number | 1053110619 |
|---|---|
| Provider Enumeration Date | 03/07/2025 |
| Last Update Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053110619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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