Organization
SAMUEL D. CRITIDES, JR., M.D., P.A.
Active
Organization
SAMUEL D. CRITIDES, JR., M.D., P.A.
Active
Other names
HOMEPORT NEUROSURGERY AND SPINE
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL D CRITIDES JR. MD (OWNER/ P, S)
(850) 374-3125
Entity
Organization
Contact information
Practice address
350G RACETRACK RD NW, FORT WALTON BEACH, FL 32547-1699
(850) 374-3125
(850) 226-5544
Mailing address
350G RACETRACK RD NW, FORT WALTON BEACH, FL 32547-1699
(850) 374-3125
(850) 226-5544
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/11/2023
Last updated
04/01/2026
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