DESTIN SURGERY CENTER LLC (NPI# 1871594275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871594275 |
| Entity Type | Organization |
| Organization Name | DESTIN SURGERY CENTER LLC |
| Practice Address |
4485 Furling Ln Destin FL 32541-5331 |
| Practice Telephone | 8506507606 |
| Practice Fax Number | 8503371698 |
| Mailing Telephone | 8506507606 |
| Mailing Fax Number | 8503371698 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-05-19 |
| Authorized Official Name | BRANDIE SENN (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 8506507606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1136 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 075230400 | 05 | |
| FL | RAILROAD MEDICARE | 490005522 | 01 |
| Street Address |
4485 FURLING LN |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-5331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063911196 | William Edelman | Physician Assistant | 4485 Furling Ln, Destin, FL 32541-5331 | 2018-02-05 |
| 1205126992 | Walter David Harris | Obstetrics & Gynecology | 4485 Furling Ln, Destin, FL 32541-5331 | 2011-04-14 |
| 1902087281 | Destin Vein Center LLC | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2007-11-15 |
| 1174720874 | Destin Plastic Surgery | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2007-06-27 |
| 1023199312 | Lawrence Scott Ennis | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-10-17 |
| 1417038704 | William R Burden | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-10-17 |
| 1710072400 | Jerolyn R Ashcraft | Registered Nurse | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-10-04 |
| 1376561480 | Sandra A Dulian | Nurse Anesthetist, Certified Registered | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-07-17 |
| 1891720538 | Helena B Grandgenett | Nurse Anesthetist, Certified Registered | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-07-11 |
| 1760413249 | Samuel A Budnyk | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164916 | The Surgery Center At Sacred Heart Medical Park, Destin, LLC | Clinic/Center | 36500 Emerald Coast Pkwy, Destin, FL 32541-4713 | 2005-09-13 |
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| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.