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

Spine Institute on the Emerald Coast

Organization Orthopaedic Surgery Physician · NPI 1336400704

Spine Institute on the Emerald Coast is an Orthopaedic Surgery Physician in Destin, Florida. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

155 Crystal Beach Dr Ste 200
Destin, FL 32541-3588
Phone: (904) 717-9625
Fax: (904) 683-6499
Show map & directions

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

Additional practice locations (1)

  • 350g Racetrack Rd Nw, Fort Walton Beach, FL 32547-1699 — (904) 717-9625

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1336400704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amrish Patel — Chief Medical Officer; Owner · (706) 580-3607
Other names Coastal Neurosurgery & Spine; The Spine Institute; The Spine Institute On The Emerald Coast P.A.
NPI enumeratedJune 1, 2012
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024
Mailing addressPo Box 600366, St Johns, FL 32260-0366

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