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Organization
FLORIDA ORTHOPAEDIC ASSOCIATES PA
Active
Organization
FLORIDA ORTHOPAEDIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W HOLLMANN M.D. (PRESIDENT)
(386) 734-9122
Entity
Organization
Contact information
Practice address
617 CANAL ST STE 110, NEW SMYRNA BEACH, FL 32168-6901
(386) 734-9122
Mailing address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
(386) 736-4348
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056051100
—
FL
Enumeration date
10/14/2015
Last updated
04/17/2024
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