Coastal Pediatric Group
Organization Active NPI Pediatrics Physician · Destin, FL
NPI 1417304643 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1417304643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME87333 (FL)
- Legal business name
- COASTAL PEDIATRIC GROUP
- Practice address
- 36468 Emerald Coast Pkwy Unit 2101
Destin, FL 32541 - Phone
- (850) 659-6556
- Fax
- (850) 249-1308
- NPI assigned
- May 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Marilyn T Sprenkle, MD
- Title
- Owner
- Phone
- (850) 659-6556
Practitioners 3
-
Giavanna Megill, CPNP-PC
-
Marilyn T Sprenkle, M.D.
National Provider Directory
Locations
36468 Emerald Coast Pkwy
Ste 2101
Destin, FL 32541
Phone (850) 269-2186
Interoperability endpoints
- https://api.platform.athenahealth.com/14223/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | ME87333 | FL | Yes |
Addresses
Primary practice location
36468 Emerald Coast Pkwy Unit 2101
Destin, FL 32541
Mailing address
36468 Emerald Coast Pkwy Unit 2101
Destin, FL 32541
Phone (850) 659-6556
Other providers in Destin, FL
- Lisa Bardy Clark
- Staceyann Simone Clarke
- Jennifer Clauson
- Clear Mountain Emergency Physicians LLC
- Clear Vision Eyecare Associates LLC
- Coastal Urology P a
- Coastal Vascular and Interventional PLLC
- Coastal Vascular and Interventional PLLC
- Johannes Hendrik Coetzee
- Comfortable Care Dental Health Professionals, P.a.
All providers in Destin, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.