# JACKSONVILLE ORTHOPAEDIC INSTITUTE INC

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

## Provider details

- **NPI number:** 1932204989
- **Authorized official:** JOHN J RICCHINI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (904) 346-3465

## Contact information

- **Practice address:** 14540 OLD SAINT AUGUSTINE RD, SUITE 2201, JACKSONVILLE, FL 32258-7418
- **Practice address phone:** (904) 880-1260
- **Practice address fax:** (904) 880-1210
- **Mailing address:** PO BOX 117345, ATLANTA, GA 30368-7345
- **Mailing address phone:** (904) 346-3465
- **Mailing address fax:** (904) 858-6489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | FL | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 01/08/2019