# DESTIN OPHTHALMOLOGY PA

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

## Provider details

- **NPI number:** 1144254939
- **Authorized official:** MRS. PRISCILLA G. FOWLER M.D. (OWNER/PROVIDER)
- **Authorized official phone:** (850) 622-0757

## Contact information

- **Practice address:** 7700 US HIGHWAY 98 W, SUITE 201, SANTA ROSA BEACH, FL 32459-3270
- **Practice address phone:** (850) 622-0757
- **Practice address fax:** (850) 622-1978
- **Mailing address:** 7700 US HIGHWAY 98 W, SUITE 201, SANTA ROSA BEACH, FL 32459-3270
- **Mailing address phone:** (850) 622-0757
- **Mailing address fax:** (850) 622-1978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME90933 | FL | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 03/15/2010