Organization
THE ORTHOPAEDIC INSTITUTE PA
Active
Parent organization
THE ORTHOPAEDIC INSTITUTE PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE ORTHOPAEDIC INSTITUTE PA
Authorized official
JOLIE HERREN (MANAGER)
(352) 336-6000
Entity
Organization
Contact information
Practice address
830 EXECUTIVE LN STE 120, ROCKLEDGE, FL 32955-3595
(321) 639-2551
(321) 504-6260
Mailing address
4500 NEWBERRY RD, GAINESVILLE, FL 32607-2245
(352) 336-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Enumeration date
11/09/2023
Last updated
02/08/2024
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