# HYPERBARIC OXYGEN SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194773812
- **Authorized official:** FREDERICK K VONTZ MD (OWNER)
- **Authorized official phone:** (904) 399-1206

## Contact information

- **Practice address:** 3901 UNIVERSITY BLVD S, SUITE 221, JACKSONVILLE, FL 32216-4377
- **Practice address phone:** (904) 391-1206
- **Mailing address:** PO BOX 919049, ORLANDO, FL 32891-9049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME10390 | FL | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/22/2020
