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NPI Code Detail

MEDICARE: SOUND ORTHOPAEDICS & FOOT AND ANKLE

MEDICARE: SOUND ORTHOPAEDICS & FOOT AND ANKLE
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
1207X00000XOrthopaedic Surgery PhysicianME68641FL

General Provider Information

NPI Number : 1639365505
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUND ORTHOPAEDICS & FOOT AND ANKLE
Provider Business Mailing Address
First Line : 8418 E BAY BLVD
Second Line :
City : NAVARRE
State : FL
Zip : 32566-6306
Country : US
Telephone Number : 850-939-5275
Fax Number : 850-939-4152
Provider Business Practice Location Address
First Line : 8418 E BAY BLVD
Second Line :
City : NAVARRE
State : FL
Zip : 32566-6306
Country : US
Telephone Number : 850-939-5275
Fax Number : 850-939-4152
Authorized Official
Title or Position : PRESIDENT
Name : DR. MINOO H HOLLIS
Credential :
Telephone Number : 850-939-5275
Provider Enumeration Date : 09/24/2007
Last Update Date : 07/20/2012

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Directions to “SOUND ORTHOPAEDICS & FOOT AND ANKLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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