Organization
DUVAL COUNTY ORTHOPEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE MARIE WAKULA (OFFICE MANAGER)
(772) 546-9591
Entity
Organization
Contact information
Practice address
1050 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4142
(772) 245-8397
Mailing address
3615 KENNESAW PL, MELBOURNE, FL 32934-2903
(954) 818-3160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS13758
FL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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