Organization
JOHN GREGORY ATWATER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GREGORY ATWATER MD (PRESIDENT)
(309) 287-4621
Entity
Organization
Contact information
Practice address
1260 37TH ST STE 102, VERO BEACH, FL 32960-6567
(772) 213-9800
(772) 213-9813
Mailing address
1260 37TH ST STE 102, VERO BEACH, FL 32960-6567
(772) 213-9800
(772) 213-9813
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME119810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME119810
DEPARTMENT OF HEALTH
FL
Enumeration date
12/27/2017
Last updated
01/26/2018
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