| Sandestin Clinical Services, LLC | |
|
400 Audubon Dr Miramar Beach FL 32550-4594 | |
| (850) 267-6767 | |
| Not Available |
| Full Name | Sandestin Clinical Services, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 400 Audubon Dr, Miramar Beach, Florida |
| Authorized Official Name and Position | Angel Barber (ADMINISTRATOR) |
| Authorized Official Contact | 8502676767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandestin Clinical Services, LLC 15000 Emerald Coast Pkwy Destin FL 32541-3338 | Sandestin Clinical Services, LLC 400 Audubon Dr Miramar Beach FL 32550-4594 Ph: (850) 267-6767 |
| NPI Number | 1154743722 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 01/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154743722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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