SACRED HEART MEDICAL GROUP NPI 1093482655

NPI Information

  • NPI: 1093482655
  • Provider Name: SACRED HEART MEDICAL GROUP
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 10D0971789
  • Address: 7720 US HIGHWAY 98 W STE 310
    MIRAMAR BEACH, FL
    ZIP 32550
  • Phone: (850) 267-2961

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NPI Details

SACRED HEART MEDICAL GROUP is an obstetrics gynecology in Miramar Beach, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SACRED HEART MEDICAL GROUP NPI is 1093482655. 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 310
MIRAMAR BEACH, FL
ZIP 32550-232
Phone: (850) 267-2961

The provider's authorized official is Jean Vallier .
The authorized official title is Director and has the following contact phone number (850) 267-2961.

The CLIA number assigned to this NPI record is 10D0971789 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.

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
1207VG0400XObstetrics & GynecologyGynecologyNo
2207VX0000XObstetrics & GynecologyObstetricsNo
3207V00000XObstetrics & GynecologyYes

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: 3/30/2025

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