Organization
SPINE INSTITUTE ON THE EMERALD COAST
Active
Organization
SPINE INSTITUTE ON THE EMERALD COAST
Active
Other names
The Spine Institute, The Spine Institute on the Emerald Coast P.A., 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
155 CRYSTAL BEACH DR STE 200, DESTIN, FL 32541-3588
(904) 717-9625
(904) 683-6499
Mailing address
PO BOX 600366, ST JOHNS, FL 32260-0366
(904) 717-9625
(904) 683-6499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/01/2012
Last updated
04/10/2024
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