Organization
ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT W. GILLESPY MD (PRESIDENT)
(386) 255-4596
Entity
Organization
Contact information
Practice address
1175 DUNLAWTON AVE STE 1, PORT ORANGE, FL 32127-4741
(386) 255-4596
(386) 258-3561
Mailing address
1865 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 258-3561
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
08/02/2024
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