Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Destin Surgery Clinic, PA

Organization Specialist · NPI 1457661605

Destin Surgery Clinic, PA provides Specialist services 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 Not confirmed with CMS for 15 years — call before visiting
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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