Coastal Pediatric Group

NPI #1417304643 in Destin, Florida

Provider Information

NPI Number: 1417304643
Entity Type: Organization
Organization Name: Coastal Pediatric Group
Primary Specialty: Pediatrics
Enumeration Date: May 17, 2016
Last Updated: Jan 2, 2019

Practice Location

Address: 36468 EMERALD COAST PKWY UNIT 2101
City: Destin
State: Florida
ZIP Code: 32541
Phone: (850) 659-6556

Authorized Official

Name: MARILYN T SPRENKLE, MD
Title: OWNER
Phone: (850) 659-6556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Marilyn T Sprenkle, M.D.	Pediatrics	Destin	AI Deep Dive
Richard Charles Reno, M.D.	Pediatrics	Destin	AI Deep Dive
Raul Alvarez JR., M.D.	Pediatrics	Winter Haven	AI Deep Dive
Donald Eason, M.D.	Pediatrics	Winter Haven	AI Deep Dive

Organizations

Provider Name	Specialty	City
White-Wilson Medical Center, P.a.	Pediatrics	Destin	AI Deep Dive

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