TWIN CITIES PRIMARY CARE- DESTIN LLC (NPI# 1437374212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437374212 |
| Entity Type | Organization |
| Organization Name | TWIN CITIES PRIMARY CARE- DESTIN LLC |
| Practice Address |
12272 Emerald Coast Parkway Destin FL 32550 |
| Practice Telephone | 8502690662 |
| Practice Fax Number | 8502690745 |
| Mailing Telephone | 8502690662 |
| Mailing Fax Number | 8502690745 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2010-02-17 |
| Authorized Official Name | MR. MICKEY PICKLER (VICE PRESIDENT) |
| Authorized Official Telephone | 8505232117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
12272 EMERALD COAST PARKWAY |
| City | DESTIN |
| State | FL |
| Zip Code | 32550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811059801 | Destin Cardiology LLC | Internal Medicine | 12272 Emerald Coast Parkway, Destin, FL 32550 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652645 | S & R Dental Services, Inc. | Dentist | Carr. Int'l Zaragoza 445-1, Cd. Juarez, CHIHUAHUA 32550 | 2020-09-03 |
| 1801304746 | Dina Smith | Student in an Organized Health Care Education/Training Program | 12815 Highway 98, Suite 108, Miramar Beach, FL 32550 | 2018-01-12 |
| 1023484565 | The Hormone Restoration Center | Health Maintenance Organization | 12889 Hwy 98 W, Suite 107b, Miramar Beach, FL 32550 | 2015-08-19 |
| 1093051344 | Jason E Baker Dds LLC | Dentist | 77 South Shore Drive, Miramar Beach, FL 32550 | 2012-12-13 |
| 1801166210 | Yadhira A. Diaz | Dentist | Carr. Internacional Waterfill #500, Zaragoza, CHIHUAHUA 32550 | 2012-01-03 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| 1922234160 | Ryan Winters | Physical Therapy Assistant | 7720 Highway 98, 220, Destin, FL 32550 | 2009-06-02 |
| 1619169133 | Jessica Marie Virtue | Specialist | 12815 Hwy 98 W, Suite 114, Destin, FL 32550 | 2007-08-17 |
| 1811100217 | Maria G Vazquez | Dentist | 445 Zaragoza, Juarez, MEXICO 32550 | 2007-05-08 |
| 1013137082 | Dental Waterfill Sc | Dentist | 445 Saborosa Ave, Sabarosa, CHIH 32550 | 2007-05-01 |
| Find all providers in zip 32550 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689935926 | Commons Drive Family Medicine, LLC | Family Medicine | 4012 Commons Dr W Ste 112, Destin, FL 32541-8424 | 2012-06-04 |
| 1932309937 | Charles B Barniv | Family Medicine | 623 Harbor Blvd Ste 3, Destin, FL 32541-2436 | 2007-07-19 |
| 1497887079 | Lloyd Dale Gauvin | Family Medicine | 1234 Airport Rd, Suite 12, Destin, FL 32541-2948 | 2007-03-10 |
| 1598779100 | Lisa Bardy Clark | Family Medicine | 12815 Highway 98 West, Suite 116, Destin, FL 32550 | 2006-07-28 |
| 1356395693 | John Luther Lentz Jr. | Family Medicine | 737 Highway 98 E Ste 1, Destin, FL 32541-2538 | 2006-05-20 |
| 1326027319 | Charles B Barniv Md Pa | Family Medicine | 623 Harbor Blvd, Suite 3, Destin, FL 32541-2466 | 2006-01-10 |
| 1447245105 | Anthony V Lanasa | Family Medicine | 12272 Us Highway 98 W, Destin, FL 32550-6939 | 2005-09-19 |
| 1235515727 | Commons Drive Family Medicine | Family Medicine | 4012 Commons Dr W Ste 112, Destin, FL 32541-8424 | 2015-08-06 |
| 1376819151 | Mikael Judson Mackinney | Family Medicine | 36500 Emerald Coast Pkwy, Destin, FL 32541-4713 | 2012-03-27 |
| 1275601023 | Destin Primary Care LLC | Family Medicine | 996 Airport Rd, Suite E 103, Destin, FL 32541-2824 | 2006-12-01 |
| Find all providers in DESTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.