Organization
PUTNAM PHYSICIAN PRACTICES LLC
Active
Other names
ORTHOPEDICS AND SPORTS SPECIALISTS OF PUTNAM
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D VAUGHN (VICE PRESIDENT)
(615) 372-8508
Entity
Organization
Contact information
Practice address
3314 CRILL AVE, PALATKA, FL 32177-4162
(386) 328-4242
(386) 328-4244
Mailing address
3314 CRILL AVE, PALATKA, FL 32177-4162
(386) 328-4242
(386) 328-4244
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
12/02/2009
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