Individual
DR. TOD NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
475 W TOWN PL STE 106, ST AUGUSTINE, FL 32092-3648
(904) 466-1197
(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
01/09/2006
Last updated
06/11/2019
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