Destin Ophthalmology, PA

NPI #1912994518 in Destin, Florida

Provider Information

NPI Number: 1912994518
Entity Type: Organization
Organization Name: Destin Ophthalmology, PA
Primary Specialty: Ophthalmology
Enumeration Date: Sep 29, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 7720 US HIGHWAY 98 W
Address 2: SUITE 110
City: Destin
State: Florida
ZIP Code: 32550-7230
Phone: (850) 622-0757

Authorized Official

Name: DR. PRISCILLA G FOWLER, MD
Title: OWNER
Phone: (850) 622-0757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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