Organization
CORDOVA ORTHOPAEDIC ASSOCIATES PA
Active
Parent organization
CORDOVA ORTHOPAEDIC ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORDOVA ORTHOPAEDIC ASSOCIATES PA
Authorized official
DOUGLAS TAPPAN M.D. (PRESIDENT)
(850) 474-1925
Entity
Organization
Contact information
Practice address
5120 BAYOU BLVD, SUITE 2, PENSACOLA, FL 32503-2135
(850) 474-1925
(850) 479-7595
Mailing address
5120 BAYOU BLVD, SUITE 2, PENSACOLA, FL 32503-2135
(850) 474-1925
(850) 479-7595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME00042814
FL
174400000X
Specialist
Primary
ME42814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068249700
—
FL
Enumeration date
11/01/2007
Last updated
11/08/2012
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