Organization
NEW SMYRNA ORTHOPEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EDWARD KOLLMER MD (PRESIDENT)
(386) 426-1411
Entity
Organization
Contact information
Practice address
812 W INDIAN RIVER BLVD, EDGEWATER, FL 32132-3429
(386) 426-1411
(386) 426-0457
Mailing address
812 W INDIAN RIVER BLVD, EDGEWATER, FL 32132-3429
(386) 426-1411
(386) 426-0457
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
05/07/2023
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