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NPI Code Detail

MEDICARE: ORTHOPAEDIC ASSOCIATES PA

MEDICARE: ORTHOPAEDIC ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1124155783
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPAEDIC ASSOCIATES PA
Provider Business Mailing Address
First Line : PO BOX 740923
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0923
Country : US
Telephone Number : 850-863-2153
Fax Number : 850-315-9350
Provider Business Practice Location Address
First Line : 36474 EMERALD COAST PARKWAY
Second Line : BUILDING C SUITE 3101
City : DESTIN
State : FL
Zip : 32541-4713
Country : US
Telephone Number : 508-632-1538
Fax Number : 850-315-9350
Authorized Official
Title or Position : BILLING MANAGER
Name : ANGELA ARCHIE
Credential :
Telephone Number : 850-863-2153
Provider Enumeration Date : 02/28/2007
Last Update Date : 08/14/2023

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Directions to “ORTHOPAEDIC ASSOCIATES PA ” Practice Location

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