Organization
THE ORTHOPAEDIC INSTITUTE, PA
Active
Parent organization
THE ORTHOPAEDIC INSTITUTE, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE ORTHOPAEDIC INSTITUTE, PA
Authorized official
JOLIE HERREN (MANAGER)
(352) 336-6000
Entity
Organization
Contact information
Practice address
2955 BROWNWOOD BLVD STE 403, THE VILLAGES, FL 32163-2040
(352) 336-6000
Mailing address
4500 NEWBERRY RD, GAINESVILLE, FL 32607-2245
(352) 336-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
07/08/2022
Last updated
08/23/2022
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