Homeport Neurosurgery And Spine

LBN: Samuel D. Critides, Jr., M.D., P.A.
Homeport Neurosurgery And Spine is an health care organization with primary practice located at 350G Racetrack Rd Nw , Fort Walton Beach FL 32547-1699. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. Samuel D. Critides, Jr., M.D., P.A. can be contacted via phone (850) 374-3125, or through Critides, Samuel D via phone (850) 374-3125.

Contact Information

Primary practice address
350G Racetrack Rd Nw Fort Walton Beach FL 32547-1699
Phone: (850) 374-3125
Fax: (850) 226-5544
Website:
Map and Directions
Authorized official contact:
Name: Critides, Samuel D Doctor of Medicine (MD)
Phone: (850) 374-3125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1932887676
LBN Legal business name Samuel D. Critides, Jr., M.D., P.A.
DBA Doing business as Homeport Neurosurgery And Spine
Authorized official Critides, Samuel D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2023
Last updated Feb 15th, 2024 - about 10 months 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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