Destin Primary Care Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

MEOO16608 Issued in FL

Legal business name

DESTIN PRIMARY CARE CENTER

Practice address

36008 Emerald Coast Pkwy
Suite a-102
Destin, FL 32541-4792

Phone

(850) 654-0997

Fax

(850) 654-2631

NPI assigned

Dec 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Willis Webb, M.D.

Title

Owner

Phone

(850) 654-0997

Specialties & licenses 1

Addresses

Other names 1

• Doctors On Call Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1649425877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36008 EMERALD COAST PKWY",
            "address_2": "SUITE A-102",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414792",
            "telephone_number": "850-654-0997",
            "fax_number": "850-654-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36008 EMERALD COAST PKWY",
            "address_2": "SUITE A-102",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414792",
            "telephone_number": "850-654-0997",
            "fax_number": "850-654-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN PRIMARY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-654-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MEOO16608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors On Call",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Destin Ophthalmology, PA
• Destin Plastic Surgery
• Destin Primary Care LLC
• Destin Recovery LLC
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• Destin Surgery Center LLC
• Destin Surgery Clinic, P.a.

• Specialist in Destin, FL
• Providers in Destin, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.