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

Coastal Orthopedic

Organization Orthopaedic Surgery Physician · NPI 1346277860

Coastal Orthopedic is an Orthopaedic Surgery Physician in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

99 Bahia Vista Dr
Niceville, FL 32578-3617
Phone: (850) 678-2678
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 ME0063572 (FL)

Record details

NPI number1346277860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Glenn — Office Manager · (850) 678-2678
NPI enumeratedJune 28, 2006
Last updated in NPPESDecember 1, 2010
Mailing address99 Bahia Vista Dr, Niceville, FL 32578-3617

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