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

Destin Surgery Clinic, PA

Organization Specialist · NPI 1457661605

Destin Surgery Clinic, PA is a Specialist in Destin, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 Mountain Dr Ste # 6
Destin, FL 32541
Phone: (850) 837-8831
Fax: (850) 837-9137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0052108 (FL)

Record details

NPI number1457661605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Moody — Physician/Owner · (850) 837-8831
NPI enumeratedOctober 20, 2010
Last updated in NPPESOctober 20, 2010
Mailing addressP.O. Box 368, Destin, FL 32540

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