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Organization

JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER, LLC

Active
Other names
JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
JAN LESLIE DIEDRICH (VICE PRESIDENT)
(321) 841-8199
Entity
Organization

Contact information

Practice address
60 COLUMBIA STREET, ORLANDO, FL 32806
(757) 677-6054
Mailing address
65 STURTEVANT ST # MP65, ORLANDO, FL 32806-2016
(321) 841-8199

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
03/17/2022
Last updated
03/17/2022
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