Organization
DOVETAIL ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D. SANTROCK M.D. (OWNER)
(304) 216-7960
Entity
Organization
Contact information
Practice address
2416 LYNNDALE RD STE 102, FERNANDINA BEACH, FL 32034-5201
(904) 430-7132
(904) 601-1512
Mailing address
2416 LYNNDALE RD STE 102, FERNANDINA BEACH, FL 32034-5201
(904) 430-7132
(904) 601-1512
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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