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The Surgerycenter at Sacred Heart Medical Park, LLC

Ambulatory Surgical Clinic/Center in Destin, FL · enumerated 2005 · authorized official Daniel Deroberto, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639164916

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Registry record

Entity type Organization (Type 2)
Legal business name The Surgerycenter at Sacred Heart Medical Park, LLC
Practice address 36500 Emerald Coast Pkwy, Destin, FL, 32541
Phone (850) 269-0301
Fax (850) 269-0203
Enumeration date Sep 13, 2005
Last updated in NPPES Jan 26, 2026

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 1182 (FL) Primary

Authorized official

Name Daniel Deroberto
Title Cfo
Phone (850) 460-2466

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is The Surgerycenter at Sacred Heart Medical Park, LLC?
The Surgerycenter at Sacred Heart Medical Park, LLC is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-26.