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

The Surgerycenter at Sacred Heart Medical Park, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1639164916

The Surgerycenter at Sacred Heart Medical Park, LLC is an Ambulatory Surgical Clinic/Center in Destin, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

36500 Emerald Coast Pkwy
Destin, FL 32541-4713
Phone: (850) 269-0301
Fax: (850) 269-0203
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 1182 (FL)

Record details

NPI number1639164916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Deroberto — Cfo · (850) 460-2466
NPI enumeratedSeptember 13, 2005
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address36500 Emerald Coast Pkwy, Destin, FL 32541-4713

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