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Organization
FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC
Active
Organization
FIRST COAST PODIATRIC SURGERY AND WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORG ALEXANDER BOBER DPM (OWNER/PODIATRIST)
(904) 422-1566
Entity
Organization
Contact information
Practice address
1409 KINGSLEY AVE, SUITE 9-G, ORANGE PARK, FL 32073-4537
(904) 637-0037
Mailing address
PO BOX 1653, ORANGE PARK, FL 32067-1653
(904) 637-0037
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3294
FL
Other
Enumeration date
07/29/2010
Last updated
03/01/2011
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