Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023199312 Individual Practitioner Male Practitioner

Dr. Lawrence Scott Ennis , MD

Specialist • Destin, FL

Professional Overview & Biography Verified Profile Summary

Dr. Lawrence Ennis, MD is a registered healthcare professional specializing in Specialist in Destin, FL. Practice services are available at 4485 FURLING LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4485 Furling Ln

Destin, FL 325415331

Telephone 8506541194
Fax 8506543380
Associated Practice Facility / Clinic
🏢 Destin Plastic Surgery Facility NPI 1174720874

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Destin, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Destin, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME87360

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
William Edelman , PA

Physician Assistant

NPI 1063911196

Physician Assistant

Dr. Walter Harris , MD

Obstetrics & Gynecology - Gynecology

NPI 1205126992

Doctor of Medicine (M.D.)

NPI 1417038704

Doctor of Medicine (M.D.)

Jerolyn Ashcraft , CRNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1710072400
NPI 1821843723

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4485 FURLING LN, DESTIN, FL 325415331 (Tel: 8506541194)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4485 FURLING LN, DESTIN, FL 325415331 (Tel: 8506541194)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LAWRENCE ENNIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #ME87360 in FL)

🟢
Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023199312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4485 Furling Ln

Destin, FL 325415331

Phone: 8506541194

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.