Organization
THE FLORIDA KNEE AND ORTHOPEDIC PAVILION, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GARY HAYTER M.D. (OWNER)
(727) 953-9492
Entity
Organization
Contact information
Practice address
1831 N BELCHER RD, SUITE E-2, CLEARWATER, FL 33765-1449
(727) 953-9492
(727) 470-9457
Mailing address
1831 N BELCHER RD, SUITE E-2, CLEARWATER, FL 33765-1449
(727) 953-9492
(727) 470-9457
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372802100
—
FL
Enumeration date
04/19/2016
Last updated
06/13/2016
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