MEDICARE: CALVIN BLOUNT JR MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME76428	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	44250	OTHER	BCBS
2	080146219	OTHER	MDC RR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447245691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALVIN BLOUNT JR MD PA

Provider Business Mailing Address
First Line	:	4012 COMMONS DR W STE 120
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-8424
Country	:	US
Telephone Number	:	850-424-5474
Fax Number	:	850-837-6625

Provider Business Practice Location Address
First Line	:	4012 COMMONS DR W STE 120
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-8424
Country	:	US
Telephone Number	:	850-837-4844
Fax Number	:	850-837-6625

Authorized Official
Title or Position	:	CEO
Name	:	DR. CALVIN L BLOUNT JR.
Credential	:	MD
Telephone Number	:	850-424-5474

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	05/18/2026

Similar Medicare Providers

1164404588 — DR. CALVIN L BLOUNT JR. M.D.
Practice Location Address:

4012 COMMONS DR W STE 120
DESTIN, FL
32541-8424

Practice Phone: 850-424-5474
Practice Fax: 850-837-6625

1356498232 — WELLS VISION AND LASER EYE CENTER, LLC
Practice Location Address:

4012 COMMONS DR W STE 110
DESTIN, FL
32541-8424

Practice Phone: 850-424-6677
Practice Fax: 850-424-7271

1689935926 — COMMONS DRIVE FAMILY MEDICINE, LLC
Practice Location Address:

4012 COMMONS DR W STE 112
DESTIN, FL
32541-8424

Practice Phone: 850-650-2600
Practice Fax: 206-338-2314

1235515727 — COMMONS DRIVE FAMILY MEDICINE
Practice Location Address:

4012 COMMONS DR W STE 112
DESTIN, FL
32541-8424

Practice Phone: 304-552-7412
Practice Fax:

1912576851 — COASTAL VASCULAR AND INTERVENTIONAL PLLC
Practice Location Address:

4012 COMMONS DR W STE 110
DESTIN, FL
32541-8424

Practice Phone: 850-479-1805
Practice Fax: 850-479-1829

1780515981 — RIFA ROYAL LENGTHS LLC
Practice Location Address:

329 VININGS WAY BLVD
DESTIN, FL
32541-5367

Practice Phone: 850-460-5275
Practice Fax:

Directions to “CALVIN BLOUNT JR MD PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.