Organization
DESTIN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO LUCIDO (OFFICE MANAGER)
(850) 837-5562
Entity
Organization
Contact information
Practice address
996 AIRPORT RD, SUITE E 103, DESTIN, FL 32541-2824
(850) 837-5562
(850) 837-6085
Mailing address
996 AIRPORT RD, DESTIN, FL 32541-2824
(850) 837-5562
(850) 837-6085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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