Organization
ORTHO ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADY EL-BAHRI MD (MD)
(904) 536-8331
Entity
Organization
Contact information
Practice address
6100 KENNERLY RD STE 202, JACKSONVILLE, FL 32216-4379
(904) 619-3048
(904) 619-5753
Mailing address
6100 KENNERLY RD STE 202, JACKSONVILLE, FL 32216-4379
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
09/20/2021
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