Organization
DESTIN OPHTHALMOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRISCILLA G. FOWLER M.D. (OWNER/PROVIDER)
(850) 622-0757
Entity
Organization
Contact information
Practice address
7700 US HIGHWAY 98 W, SUITE 201, SANTA ROSA BEACH, FL 32459-3270
(850) 622-0757
(850) 622-1978
Mailing address
7700 US HIGHWAY 98 W, SUITE 201, SANTA ROSA BEACH, FL 32459-3270
(850) 622-0757
(850) 622-1978
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME90933
FL
Other
Enumeration date
07/10/2006
Last updated
03/15/2010
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