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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