# ORTHOPAEDIC ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1659998904
- **Authorized official:** ANGELA GRIESE (OFFICE MANAGER)
- **Authorized official phone:** (850) 863-2153

## Contact information

- **Practice address:** 5300 S FERDON BLVD, CRESTVIEW, FL 32536-5235
- **Practice address phone:** (850) 863-2153
- **Mailing address:** PO BOX 740923, ATLANTA, GA 30374-0923
- **Mailing address phone:** (850) 860-2153
- **Mailing address fax:** (850) 315-9350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 07/02/2020