Organization
SANTA ROSA ORTHOPEDIC ASSOC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN R SCHNEIDMILLER (ADMINISTRATOR)
(850) 623-0543
Entity
Organization
Contact information
Practice address
5750 BERRYHILL RD, MILTON, FL 32570-8276
(850) 623-0543
(850) 623-5479
Mailing address
5750 BERRYHILL RD, MILTON, FL 32570-8276
(850) 623-0543
(850) 623-5479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010147
BCBS ANTHEM
FL
05
—
260384500
—
FL
01
—
52323
BCBS
FL
01
—
5286015830
ALACAID
AL
01
—
59174845
BCBS
AL
01
—
CH2250
RAILROAD MEDICARE
FL
Enumeration date
06/17/2006
Last updated
07/21/2022
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