Organization
ORTHONORTHRUP PA
Active
Other names
Spartan Orthopedic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
TOD NORTHRUP (MEDICAL DIRECTOR, OWNER)
(904) 466-1197
Entity
Organization
Contact information
Practice address
475 W TOWN PL STE 106, ST AUGUSTINE, FL 32092-2820
(904) 466-1179
(904) 823-8967
Mailing address
PO BOX 4389, ST AUGUSTINE, FL 32085-4389
(904) 466-1197
(904) 823-8967
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OS7217
FL
Other
Enumeration date
08/18/2017
Last updated
07/21/2022
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