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Organization
SACRED HEART MEDICAL GROUP
Active
Organization
SACRED HEART MEDICAL GROUP
Active
Other names
SHMG Destin OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN VALLIER (DIRECTOR)
(850) 267-2961
Entity
Organization
Contact information
Practice address
7720 US HIGHWAY 98 W STE 310, MIRAMAR BEACH, FL 32550-7232
(850) 267-2961
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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