Provider Type Icon

SPINE INSTITUTE ON THE EMERALD COAST NPI 1184235558


NPI Information

NPI: 1184235558
Provider Name: SPINE INSTITUTE ON THE EMERALD COAST

Doing Business As: COASTAL NEUROSURGERY & SPINE

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
350G RACETRACK RD NW
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 460-2350
Get Directions

SPINE INSTITUTE ON THE EMERALD COAST is an orthopaedic surgery of the spine orthopaedic surgery in Fort Walton Beach, FL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. SPINE INSTITUTE ON THE EMERALD COAST NPI is 1184235558. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coastal Neurosurgery & Spine.

The provider's business location address is:

350G RACETRACK RD NW
FORT WALTON BEACH, FL
ZIP 32547-699
Phone: (850) 460-2350
Fax: (866) 490-1517

The provider's authorized official is Amrish Patel .
The authorized official title is Chief Medical Officer, Owner and has the following contact phone number (850) 460-2350.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 1/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.