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BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA
NPI 1295769263
Orthopaedic Surgery in Fort Walton Beach, FL

Active since July 10, 2006
1032 MAR WALT DR, SUITE 210, FORT WALTON BEACH, FL 32547(850) 664-5633(850) 315-2664 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beach Orthopaedic & Sports Medicine Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA (NPI 1295769263) is a healthcare organization registered as an orthopaedic surgery in Fort Walton Beach, Florida and active in the NPI registry since July 2006. The organization lists Samuel William Capra, President/owner, as its authorized official.

NPPES Registry Identity

NPI1295769263
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA
Location Address1032 MAR WALT DR, SUITE 210Fort Walton Beach, FL 32547-6645
Mailing Address1032 Mar Walt Dr, Suite 210Fort Walton Beach, FL 32547-6645 · (850) 664-5633 · Fax (850) 315-2664
Phone(850) 664-5633
Fax(850) 315-2664
Organization SubpartNo
Authorized OfficialSamuel William CapraPresident/owner · (850) 664-5633
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295769263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME94278
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1032 MAR WALT DR, Fort Walton Beach, FL 32547
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKKOLE NUNEZ TOWN
Nurse Practitioner (Family)
1032 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8260
ERIC L SANDWITH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1032 MAR WALT DR, SUITE 230
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-3194
BARNETT FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, PA.
Otolaryngology (Plastic Surgery within the Head & Neck)
1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (504) 914-7696
WHITE SANDS PODIATRY LLC
Podiatrist (Foot & Ankle Surgery)
1032 MAR WALT DR, STE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 622-1607
EMERALD COAST EAR, NOSE, THROAT & ALLERGIES, P.A.
Health Maintenance Organization
1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 796-1368
TIMOTHY M BRADLEY,MD SC
Plastic Surgery
1032 MAR WALT DR, SUITE 240
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 533-0865
JOSEPH DANIEL SIEFKER M.D.
Otolaryngology (Otolaryngic Allergy)
1032 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 796-1368
DR. ROBERT P FELDMAN M.D.
Neurological Surgery
1032 MAR WALT DR, SUITE 250
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-3463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beach Orthopaedic & Sports Medicine Clinic, PA's NPI number?

The NPI number for Beach Orthopaedic & Sports Medicine Clinic, PA is 1295769263. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Beach Orthopaedic & Sports Medicine Clinic, PA located?

Beach Orthopaedic & Sports Medicine Clinic, PA is located at 1032 Mar Walt Dr Suite 210, Fort Walton Beach, FL 32547. The listed phone number is (850) 664-5633.

What is Beach Orthopaedic & Sports Medicine Clinic, PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Beach Orthopaedic & Sports Medicine Clinic, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.