Organization
COASTAL PEDIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN T SPRENKLE MD (OWNER)
(850) 659-6556
Entity
Organization
Contact information
Practice address
36468 EMERALD COAST PKWY UNIT 2101, DESTIN, FL 32541
(850) 659-6556
(850) 249-1308
Mailing address
36468 EMERALD COAST PKWY UNIT 2101, DESTIN, FL 32541
(850) 659-6556
(850) 249-1308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME87333
FL
Other
Enumeration date
05/17/2016
Last updated
01/02/2019
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