Organization
ISLAND ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA C GARDNER MD (OWNER)
(340) 714-5400
Entity
Organization
Contact information
Practice address
9154 ESTATE THOMAS, LOWER LEVEL, ST THOMAS, VI 00802-2687
(340) 714-5400
Mailing address
PO BOX 503030, ST THOMAS, VI 00805-3030
(340) 714-5400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1376
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004285
OFFICE OF HEALTH PRACTITI
VI
01
—
1376
MEDICAL LICENSE
VI
Enumeration date
05/23/2007
Last updated
03/28/2008
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