Organization
JEWETT ORTHOPAEDIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL V JABLONSKI M.D. (C.E.O.)
(407) 647-2287
Entity
Organization
Contact information
Practice address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-1300
Mailing address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-1300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
207XS0106X
Orthopaedic Hand Surgery Physician
—
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
FL
207XX0801X
Orthopaedic Trauma Physician
—
FL
208100000X
Physical Medicine & Rehabilitation Physician
—
FL
2085B0100X
Body Imaging Physician
—
FL
2085N0700X
Neuroradiology Physician
—
FL
2085R0202X
Diagnostic Radiology Physician
—
FL
2471B0102X
Bone Densitometry Radiologic Technologist
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
335E00000X
Prosthetic/Orthotic Supplier
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060759200
—
FL
Enumeration date
07/15/2005
Last updated
01/14/2015
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