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

Sacred Heart Medical Grp at Destin

Organization Otolaryngology Physician · NPI 1205887650

Sacred Heart Medical Grp at Destin is an Otolaryngology Physician in Pensacola, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4451 Bayou Blvd
Pensacola, FL 32503-2601
Phone: (850) 475-4500
Fax: (850) 475-4771
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1205887650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Foley — Enrollment Specialist · (850) 475-4620
Other names Shmg Emerald Coast Specialists
NPI enumeratedMay 12, 2006
Last updated in NPPESApril 11, 2012
Mailing addressPo Box 2699, Healthplan Enrollment, Pensacola, FL 32513-2699

Other providers in Pensacola