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Organization

NORTHEAST FLORIDA JOINT PRESERVATION AND CARTILAGE RESTORATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN LALLISS MD (OWNER)
(904) 308-7792
Entity
Organization

Contact information

Practice address
9560 CROSSHILL BLVD, SUITE 110, JACKSONVILLE, FL 32222-5850
(904) 308-7792
Mailing address
PO BOX 65201, ORANGE PARK, FL 32065-0004

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME112470
FL

Other

Enumeration date
12/23/2013
Last updated
12/23/2013
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