Individual
CALLIE ANN JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806-4476
(407) 254-2500
Mailing address
25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806-4476
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
95755
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME167567
FL
Other
Enumeration date
04/10/2018
Last updated
08/22/2024
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