Individual
PHILIP R. HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 SAN MARCO BLVD, STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 858-6475
Mailing address
1325 SAN MARCO BLVD, SUITE 701, JACKSONVILLE, FL 32207-8568
(904) 346-3465
(904) 858-6490
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME37359
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME37359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00664397A
—
FL
Enumeration date
06/09/2005
Last updated
02/19/2014
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