Organization
THE SPINE INSTITUTE AT ORTHOPAEDIC ASSOCIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORNELIS A POELSTRA MD (PHYSICIAN)
(850) 797-6027
Entity
Organization
Contact information
Practice address
1034 MAR WALT DR, SUITE 310, FORT WALTON BEACH, FL 32547-6645
(850) 797-6027
(850) 797-6027
Mailing address
1034 MAR WALT DR, SUITE 310, FORT WALTON BEACH, FL 32547-6645
(850) 797-6027
(850) 797-6027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
06/02/2012
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