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Organization
ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
Active
Organization
ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT WILLIAM GILLESPY MD (PRESIDENT)
(386) 255-4596
Entity
Organization
Contact information
Practice address
1165 DUNLAWTON AVE, SUITE 102, PORT ORANGE, FL 32127-2924
(386) 255-4596
(386) 258-3561
Mailing address
1865 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 258-3561
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
08/03/2016
Last updated
08/02/2024
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