# PALM HARBOR ORTHOPEDICS PA

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

## Provider details

- **NPI number:** 1841422581
- **Authorized official:** DR. RONALD BATHAW M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (386) 586-2234

## Contact information

- **Practice address:** 80 PINNACLES DR, SUITE 700, PALM COAST, FL 32164-2323
- **Practice address phone:** (386) 586-2234
- **Practice address fax:** (386) 586-2884
- **Mailing address:** PO BOX 352077, PALM COAST, FL 32135-2077
- **Mailing address phone:** (386) 586-2234
- **Mailing address fax:** (386) 586-2884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME004566 | FL | Yes |

## Other

- **Enumeration date:** 08/13/2009
- **Last updated:** 08/11/2010