OrganizationActive
Emerald Coast Neck & Back Clinic, P.A.
NPI 1386916237 · Orthopaedic Surgery of the Spine Physician · Niceville, FL
Provider details
- NPI number
- 1386916237
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Christo Koulisis, President
- License
- ME0053933 (FL)
Practice location
1003 College Blvd W
Suite 4
Niceville, FL 32578-1068
Phone: (850) 279-6485
Fax: (850) 279-6546
Mailing address
1003 College Blvd W
Niceville, FL 32578-1068
Registry dates
- Enumerated
- 2012-02-07
- Last updated
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.