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Organization
OCEAN SHARK ORTHO
Active
Organization
OCEAN SHARK ORTHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI TARANTINO (AUTHORIZED AGENT)
(913) 526-5282
Entity
Organization
Contact information
Practice address
116 NEWPORT LN, PONTE VEDRA, FL 32082-1514
(573) 635-7880
Mailing address
116 NEWPORT LN, PONTE VEDRA, FL 32082-1514
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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