Spine Institute On the Emerald Coast

NPI #1336400704 in Destin, Florida

Provider Information

NPI Number: 1336400704
Entity Type: Organization
Organization Name: Spine Institute On the Emerald Coast
Primary Specialty: Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date: Jun 1, 2012
Last Updated: Apr 10, 2024

Practice Location

Address: 155 CRYSTAL BEACH DR STE 200
City: Destin
State: Florida
ZIP Code: 32541-3588
Phone: (904) 717-9625

Authorized Official

Name: AMRISH PATEL, MD
Title: CHIEF MEDICAL OFFICER; OWNER
Phone: (706) 580-3607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Orthopaedic Surgery	207X00000X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X	Primary

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