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Organization
THE SURGERYCENTER AT SACRED HEART MEDICAL PARK, LLC
Active
Organization
THE SURGERYCENTER AT SACRED HEART MEDICAL PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL DEROBERTO MBA (CFO)
(850) 460-2466
Entity
Organization
Contact information
Practice address
36500 EMERALD COAST PKWY, DESTIN, FL 32541-4713
(850) 269-0301
(850) 269-0203
Mailing address
36500 EMERALD COAST PKWY, DESTIN, FL 32541-4713
(850) 269-0301
(850) 269-0203
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1182
FL
Other
Enumeration date
09/13/2005
Last updated
01/26/2026
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