Individual
JOHN A PRODOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 CANAL ST STE 110, NEW SMYRNA BEACH, FL 32168-6901
(386) 734-9122
Mailing address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME162392
FL
Other
Enumeration date
08/16/2006
Last updated
05/29/2025
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