Organization
JOHN GREGORY ATWATER MD PA
Active
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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