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Organization

JACKSONVILLE MULTISPECIALTY SERVICES, LLC

Active
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Organization

JACKSONVILLE MULTISPECIALTY SERVICES, LLC

Active
Other names
First Coast Orthopedics
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE WINNEY VP (VP)
(904) 399-6179
Entity
Organization

Contact information

Practice address
1679 EAGLE HARBOR PKWY, SUITE B, ORANGE PARK, FL 32003-4815
(904) 399-6109
(904) 399-6626
Mailing address
1679 EAGLE HARBOR PKWY, SUITE B, ORANGE PARK, FL 32003-4815

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—

Other

Enumeration date
03/05/2009
Last updated
03/05/2009
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