Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Pediatric Group

Organization Pediatrics Physician · NPI 1417304643

Coastal Pediatric Group is a Pediatrics Physician in Destin, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

36468 Emerald Coast Pkwy Unit 2101
Destin, FL 32541
Phone: (850) 659-6556
Fax: (850) 249-1308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME87333 (FL)

Record details

NPI number1417304643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Sprenkle — Owner · (850) 659-6556
NPI enumeratedMay 17, 2016
Last updated in NPPESJanuary 2, 2019
Mailing address36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541

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