Organization
PALM HARBOR ORTHOPEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD BATHAW M.D. (PHYSICIAN/OWNER)
(386) 586-2234
Entity
Organization
Contact information
Practice address
80 PINNACLES DR, SUITE 700, PALM COAST, FL 32164-2323
(386) 586-2234
(386) 586-2884
Mailing address
PO BOX 352077, PALM COAST, FL 32135-2077
(386) 586-2234
(386) 586-2884
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME004566
FL
Other
Enumeration date
08/13/2009
Last updated
08/11/2010
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