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SACRED HEART HOSPITAL ON THE EMERALD COAST NPI 1760432900


NPI Information

NPI: 1760432900
Provider Name: SACRED HEART HOSPITAL ON THE EMERALD COAST

Doing Business As: SACRED HEART MEDICAL GROUP DESTIN

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4451 BAYOU BLVD
PENSACOLA, FL
ZIP 32503
Phone: (850) 475-4500
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SACRED HEART HOSPITAL ON THE EMERALD COAST is a cardiovascular disease internal medicine in Pensacola, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SACRED HEART HOSPITAL ON THE EMERALD COAST NPI is 1760432900. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sacred Heart Medical Group Destin.

The provider's business location address is:

4451 BAYOU BLVD
PENSACOLA, FL
ZIP 32503-601
Phone: (850) 475-4500
Fax: (850) 475-4771

The provider's authorized official is Jan Foley .
The authorized official title is Hpe Specialist and has the following contact phone number (850) 475-4620.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 4/11/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K4145MEDICARE PINFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.