Destin Cardiology LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

DESTIN CARDIOLOGY LLC

Practice address

12272 Emerald Coast Parkway
Destin, FL 32550

Phone

(850) 269-1131

Fax

(850) 269-1151

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Sam Traughber, MD

Title

MD

Phone

(850) 269-1131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811059801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 EMERALD COAST PARKWAY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32550",
            "telephone_number": "850-269-1131",
            "fax_number": "850-269-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12272 EMERALD COAST PARKWAY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32550",
            "telephone_number": "850-269-1131",
            "fax_number": "850-269-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAUGHBER",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "850-269-1131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Destin, FL
• Providers in Destin, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.