Organization
ORTHO ONE JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ROGERS (PRACTICE ADMINISTRATOR)
(904) 619-3048
Entity
Organization
Contact information
Practice address
6100 KENNERLY RD STE 202, JACKSONVILLE, FL 32216-4379
(904) 619-3048
(904) 619-5753
Mailing address
6100 KENNERLY RD STE 202, JACKSONVILLE, FL 32216-4379
(904) 619-3048
(904) 619-5753
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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