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Organization

EASTERN SHORE ORTHOPAEDIC CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN A RODRIGUEZ-FEO M.D. (PRESIDENT)
(251) 928-4033
Entity
Organization

Contact information

Practice address
912 PLANTATION BLVD, FAIRHOPE, AL 36532-2952
(251) 928-4033
(251) 928-4032
Mailing address
PO BOX 1212, FAIRHOPE, AL 36533-1212
(251) 928-4033
(251) 928-4032

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11349
AL
225100000X
Physical Therapist
PTH3108
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51088164
BCBS
AL
01
51094156
BCBS
AL
05
529400020
AL
Enumeration date
07/03/2007
Last updated
01/13/2009
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