| First Coast Orthopedic Associates Llc | |
|
6067 Kennerly Rd Jacksonville FL 32216-4305 | |
| (904) 731-3131 | |
| Not Available |
| Full Name | First Coast Orthopedic Associates Llc |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 6067 Kennerly Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Haissam Barakat (CREDENTIALING) |
| Authorized Official Contact | 9049626005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Orthopedic Associates Llc 3701 Windmoor Dr Jacksonville FL 32217-4240 Ph: (904) 388-4712 | First Coast Orthopedic Associates Llc 6067 Kennerly Rd Jacksonville FL 32216-4305 Ph: (904) 731-3131 |
| NPI Number | 1053005348 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053005348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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