Individual
DR. MARILYN T SPRENKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36468 EMERALD COAST PARKWAY, UNIT 2101, DESTIN, FL 32541
(850) 659-6556
(850) 249-1308
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8100
(850) 863-2303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME87333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266800900
—
FL
Enumeration date
12/14/2005
Last updated
01/03/2019
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