# DESTIN ANESTHESIA GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083735005
- **Authorized official:** MRS. DEBORAH N MEIER (FACILITY ADMINISTRATOR)
- **Authorized official phone:** (850) 269-0301

## Contact information

- **Practice address:** 36500 EMERALD COAST PKWY, DESTIN, FL 32541-4713
- **Practice address phone:** (850) 269-0301
- **Practice address fax:** (850) 269-0203
- **Mailing address:** 36500 EMERALD COAST PKWY, DESTIN, FL 32541-4713
- **Mailing address phone:** (850) 269-0301
- **Mailing address fax:** (850) 269-0203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 10/23/2007