OrganizationActive
Sacred Heart Medical Group
NPI 1053083394 · Otolaryngology Physician · Miramar Beach, FL
Provider details
- NPI number
- 1053083394
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jean Vallier, Director-Managed Care(850) 622-5148
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7720 US Highway 98 W Ste 370
Miramar Beach, FL 32550-7232
Phone: (850) 622-5148
Fax: (850) 622-5149
Approximate (ZIP-level) locationGet directions
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Other names (DBA / former)
- Other name
- Shmg Ent at Destin
Registry dates
- Enumerated
- 2021-10-05
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.