The Spine Institute At Orthopaedic Associates Pl

LBN: The Spine Institute At Orthopaedic Associates Pl
The Spine Institute At Orthopaedic Associates Pl is an health care organization with primary practice located at 1034 Mar Walt Dr Suite 310, Fort Walton Beach FL 32547-6645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. The Spine Institute At Orthopaedic Associates Pl can be contacted via phone (850) 797-6027, or through Poelstra, Kornelis A via phone (850) 797-6027.

Contact Information

Primary practice address
1034 Mar Walt Dr Suite 310 Fort Walton Beach FL 32547-6645
Phone: (850) 797-6027
Fax: (850) 797-6027
Website:
Map and Directions
Authorized official contact:
Name: Poelstra, Kornelis A Doctor of Medicine (MD)
Phone: (850) 797-6027

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1396072765
LBN Legal business name The Spine Institute At Orthopaedic Associates Pl
DBA Doing business as
Authorized official Poelstra, Kornelis A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2009
Last updated Jun 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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