Organization
HYPERBARIC OXYGEN SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK K VONTZ MD (OWNER)
(904) 399-1206
Entity
Organization
Contact information
Practice address
3901 UNIVERSITY BLVD S, SUITE 221, JACKSONVILLE, FL 32216-4377
(904) 391-1206
Mailing address
PO BOX 919049, ORLANDO, FL 32891-9049
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME10390
FL
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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