SANDESTIN CLINICAL SERVICES, LLC
NPI 1154743722
Clinic/Center in Miramar Beach, FL

NPI Status: Active since January 15, 2014

Contact Information

400 AUDUBON DR
MIRAMAR BEACH, FL
ZIP 32550
Phone: (850) 267-6767

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center

About SANDESTIN CLINICAL SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Sandestin Clinical Services, Llc, a provider established in Miramar Beach, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1154743722 assigned on January 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Angel Barber (Administrator)

NPI: 1154743722
Provider Name: SANDESTIN CLINICAL SERVICES, LLC
Entity Type: Organization
Location Address: 400 AUDUBON DR MIRAMAR BEACH, FL 32550
Location Phone: (850) 267-6767
Mailing Address: 15000 EMERALD COAST PKWY DESTIN, FL 32541
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 01-15-2014
Last Update Date: 01-15-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ANGEL BARBER
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (850) 267-6767

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	5	4	7	4	3	7	2	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	10	4	14	4	6	7	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 4 + 4 + 6 + 7 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1154743722 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.