Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beach Orthopaedic & Sports Medicine Clinic, PA

Organization Orthopaedic Surgery Physician · NPI 1295769263

Beach Orthopaedic & Sports Medicine Clinic, PA is an Orthopaedic Surgery Physician in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1032 Mar Walt Dr Ste 210
Fort Walton Beach, FL 32547-6645
Phone: (850) 664-5633
Fax: (850) 315-2664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME94278 (FL)

Record details

NPI number1295769263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Capra — President/Owner · (850) 664-5633
NPI enumeratedJuly 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1032 Mar Walt Dr, Suite 210, Fort Walton Beach, FL 32547-6645

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