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Organization

RADNOTHY ORTHOPAEDICS, PA

Active
Other names
Radnothy Perry Orthopaedic Center
Organization subpart
No

Provider details

NPI number
Authorized official
JON H. RADNOTHY D.O. (PHYSICIAN/OWNER)
(352) 343-2171
Entity
Organization

Contact information

Practice address
2051 MAYO DRIVE, TAVARES, FL 32778
(352) 343-2171
(352) 343-1475
Mailing address
2051 MAYO DRIVE, TAVARES, FL 32778
(352) 343-2171
(352) 343-1475

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
056686
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CI8654
RAILROAD MEDICARE
FL
Enumeration date
11/21/2006
Last updated
11/12/2019
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