| Clay Vandenberg, OTA | |
|
1 Orthopaedic Pl, Saint Augustine, FL 32086-4202 | |
| (904) 825-0540 | |
| Not Available |
| Full Name | Clay Vandenberg |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1 Orthopaedic Pl, Saint Augustine, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679065411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 1770020919 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Vandenberg, OTA 1756 S Clyde Morris Blvd Apt 1008, Daytona Beach, FL 32119-9035 Ph: (973) 800-4220 | Clay Vandenberg, OTA 1 Orthopaedic Pl, Saint Augustine, FL 32086-4202 Ph: (904) 825-0540 |
Mr. Stefan L Stanescu, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 105 Southpark Blvd, Suite C300, Saint Augustine, FL 32086 Phone: 904-797-2663 Fax: 904-819-0997 | |
Dr. James M Grimes, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Plantation Island Dr S Ste 106a, Saint Augustine, FL 32080 Phone: 904-814-8365 Fax: 904-217-3224 |