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Organization
BAHRI ORTHOPEDICS & SPORTS MEDICINE CLINIC, P.L.
Active
Organization
BAHRI ORTHOPEDICS & SPORTS MEDICINE CLINIC, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI BALL BAHRI (ADMINISTRATOR)
(904) 739-0050
Entity
Organization
Contact information
Practice address
6100 KENNERLY ROAD, SUITE 101, JACKSONVILLE, FL 32216
(904) 739-0050
Mailing address
6100 KENNERLY ROAD, SUITE 101, JACKSONVILLE, FL 32216
(904) 739-0050
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
05/07/2015
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