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

Surfside Orthodontics PA

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1205176021

Surfside Orthodontics PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
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

28 Racetrack Rd NW
Fort Walton Beach, FL 32547-1640
Phone: (850) 863-2122
Fax: (850) 863-5812
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 16286 (FL)

Record details

NPI number1205176021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brodie Bowman — Owner · (850) 863-2122
NPI enumeratedFebruary 15, 2013
Last updated in NPPESFebruary 15, 2013
Mailing address28 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1640

Other providers in Fort Walton Beach