COASTAL NEUROSURGERY & SPINE
NPI 1336400704
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Destin, FL

Q: What is Spine Institute On The Emerald Coast's NPI number?

The NPI number for Spine Institute On The Emerald Coast is 1336400704. It was assigned to this organization in the NPPES registry on June 1, 2012. The provider is doing business as Coastal Neurosurgery & Spine. The provider is also known as The Spine Institute and The Spine Institute on the Emerald Coast P.A..

Q: What is Spine Institute On The Emerald Coast's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since June 01, 2012

155 CRYSTAL BEACH DR STE 200, DESTIN, FL 32541(904) 717-9625(904) 683-6499 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Sep 8, 2023, Jul 3, 2023 and 5 more (8 updates tracked since 2020).

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About Coastal Neurosurgery & Spine NPPES

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

COASTAL NEUROSURGERY & SPINE (NPI 1336400704) is a healthcare organization registered as an orthopaedic surgery of the spine in Destin, Florida and active in the NPI registry since June 2012. The organization maintains a secondary practice location in Fort Walton Beach and lists Amrish Patel, Chief Medical Officer; Owner, as its authorized official.

NPPES Registry Identity

NPI1336400704

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NameSPINE INSTITUTE ON THE EMERALD COAST

Location Address155 CRYSTAL BEACH DR STE 200Destin, FL 32541-3588

Mailing AddressPo Box 600366St Johns, FL 32260-0366 · (904) 717-9625 · Fax (904) 683-6499

Phone(904) 717-9625

Fax(904) 683-6499

Organization SubpartNo

Authorized OfficialAmrish PatelChief Medical Officer; Owner · (706) 580-3607

Enumeration DateJune 1, 2012

Last NPPES UpdateApril 10, 20248 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1336400704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

155 CRYSTAL BEACH DR STE 200, Destin, FL 32541

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Other Names 3

Doing Business AsCoastal Neurosurgery & Spine

Other NameThe Spine Institute

Other NameThe Spine Institute On The Emerald Coast P.a.

Secondary Practice Location 1

Location 1350G Racetrack Rd NWFort Walton Beach, FL 32547-1699 · Phone (904) 717-9625 · Fax (904) 683-6499

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JASON QUALLEY MD, CCP,LP

Pain Medicine (Interventional Pain Medicine)