Unknown Individual – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1174527949
Sports Medicine (Orthopaedic Surgery) Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 40767
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 322030767
Phone: (904) 376-3707
Fax: (904) 391-5001
Type: Mailing
San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 322078566
Phone: (904) 346-3465
Fax: (904) 396-0388
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL |
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