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Organization
SACRED HEART MEDICAL GROUP
Active
Organization
SACRED HEART MEDICAL GROUP
Active
Other names
SHMG Destin Endo/Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN VALLIER (DIRECTOR-MANAGED CARE)
(850) 278-3742
Entity
Organization
Contact information
Practice address
7720 US HIGHWAY 98 W STE 230&260, MIRAMAR BEACH, FL 32550-7230
(850) 278-3742
(850) 278-3753
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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