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SACRED HEART MEDICAL GROUP NPI 1053083394


NPI Information

NPI: 1053083394
Provider Name: SACRED HEART MEDICAL GROUP
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
7720 US HIGHWAY 98 W STE 370
MIRAMAR BEACH, FL
ZIP 32550
Phone: (850) 622-5148
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SACRED HEART MEDICAL GROUP is an otolaryngology in Miramar Beach, FL. The provider is 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 injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. SACRED HEART MEDICAL GROUP NPI is 1053083394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7720 US HIGHWAY 98 W STE 370
MIRAMAR BEACH, FL
ZIP 32550-232
Phone: (850) 622-5148
Fax: (850) 622-5149

The provider's authorized official is Jean Vallier .
The authorized official title is Director-managed Care and has the following contact phone number (850) 622-5148.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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