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

The Spine Institute at Orthopaedic Associates Pl

Organization Orthopaedic Surgery Physician · NPI 1396072765

The Spine Institute at Orthopaedic Associates Pl is an Orthopaedic Surgery Physician in Fort Walton Beach, Florida. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1034 Mar Walt Dr Ste 310
Fort Walton Beach, FL 32547-6645
Phone: (850) 797-6027
Fax: (850) 797-6027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1396072765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kornelis Poelstra — Physician · (850) 797-6027
NPI enumeratedNovember 5, 2009
Last updated in NPPESJune 2, 2012
Mailing address1034 Mar Walt Dr, Suite 310, Fort Walton Beach, FL 32547-6645

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