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Organization
SPINE INSTITUTE ON THE EMERALD COAST
Active
Organization
SPINE INSTITUTE ON THE EMERALD COAST
Active
Other names
Coastal Neurosurgery & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
AMRISH PATEL MD (CHIEF MEDICAL OFFICER, OWNER)
(706) 580-3607
Entity
Organization
Contact information
Practice address
350G RACETRACK RD NW, FORT WALTON BEACH, FL 32547-1699
(850) 460-2350
Mailing address
PO BOX 600366, ST JOHNS, FL 32260-0366
(904) 717-9625
(904) 683-6499
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
08/11/2020
Last updated
04/10/2024
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