Organization
JACKSONVILLE ORTHOPAEDIC INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J RICCHINI (EXECUTIVE DIRECTOR)
(904) 346-3465
Entity
Organization
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD, SUITE 2201, JACKSONVILLE, FL 32258-7418
(904) 880-1260
(904) 880-1210
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Enumeration date
09/14/2006
Last updated
01/08/2019
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