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

Magnolia Medical Clinic PA

Organization Family Medicine Physician · NPI 1053110619

Magnolia Medical Clinic PA provides Family Medicine Physician services in Destin, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

4012 Commons Dr W
Destin, FL 32541-8422
Phone: (850) 243-7681
Fax: (850) 243-0471
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053110619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Weatherington — Practice Administrator · (850) 243-0520
NPI enumeratedMarch 7, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address319 Green Acres Rd Ste 101, Fort Walton Beach, FL 32547-1170

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