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Organization
TWIN CITIES PRIMARY CARE- DESTIN LLC
Active
Organization
TWIN CITIES PRIMARY CARE- DESTIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICKEY PICKLER (VICE PRESIDENT)
(850) 523-2117
Entity
Organization
Contact information
Practice address
12272 EMERALD COAST PARKWAY, DESTIN, FL 32550
(850) 269-0662
(850) 269-0745
Mailing address
12272 EMERALD COAST PARKWAY, DESTIN, FL 32550
(850) 269-0662
(850) 269-0745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
02/17/2010
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