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Organization
NORTHEAST FLORIDA JOINT PRESERVATION AND CARTILAGE RESTORATION CENTER
Active
Organization
NORTHEAST FLORIDA JOINT PRESERVATION AND CARTILAGE RESTORATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LALLISS MD (OWNER)
(904) 308-7792
Entity
Organization
Contact information
Practice address
9560 CROSSHILL BLVD, SUITE 110, JACKSONVILLE, FL 32222-5850
(904) 308-7792
Mailing address
PO BOX 65201, ORANGE PARK, FL 32065-0004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME112470
FL
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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