Emerald Coast Neck & Back Clinic, P.a. is a Orthopedic Clinic in Niceville, Florida. It is situated at 1003 College Blvd W, Suite 4, Niceville and its contact number is 850-279-6485. The authorized person of Emerald Coast Neck & Back Clinic, P.a. is Christo W. Koulisis
who is President of the clinic and their contact number is 850-279-6485. Primary license number for Emerald Coast Neck & Back Clinic, P.a. is ME0053933 (Orthopaedic Surgery (Orthopaedic Surgery of the Spine)) in Florida.
Complete Clinic Profile:
Emerald Coast Neck & Back Clinic, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Orthopedic Surgery
Clinic Address:
1003 College Blvd W, Suite 4, Niceville, Florida, 32578-1068
Phone:
850-279-6485
Fax:
850-279-6546
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Christo W. Koulisis
Position:
President
Contact Number:
850-279-6485
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Emerald Coast Neck & Back Clinic, P.a. Clinic are as mentioned below.
NPI Number:
1386916237
NPI Enumeration Date:
07 Feb, 2012
NPI Last Update On:
29 Dec, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Emerald Coast Neck & Back Clinic, P.a. are as mentioned below.
Specialization
License Number
State
Status
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
ME0053933
Florida
Primary
Orthopaedic Surgery
ME0053933
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
162510700
Other
Florida
Department Of Labor
07915
Other
Florida
Blue Cross Blue Shield
256355000
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Emerald Coast Neck & Back Clinic, P.a. 1003 College Blvd W, Suite 4 Niceville, Florida
Zip:
32578-1068
Phone Number:
850-279-6485
Fax Number:
850-279-6546
Patients can reach Emerald Coast Neck & Back Clinic, P.a. at 1003 College Blvd W, Suite 4, Niceville, Florida or can call to book an appointment on 850-279-6485. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Orthopedic: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
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