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Individual

JOHN M REDMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2627 RIVERSIDE AVE, 3RD FLOOR, JACKSONVILLE, FL 32204-4712
(904) 634-0640
(904) 634-0203
Mailing address
6500 BOWDEN RD, SUITE 103, JACKSONVILLE, FL 32216-8070
(904) 634-0640
(904) 634-0203

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
49844
MN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME117442
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013011100
FL
01
14X3J
BCBS FL
FL
05
382498000
MN
Enumeration date
04/03/2007
Last updated
12/07/2016
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