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NPI Code Detail

MEDICARE: PHILIP R. HARDY M.D.

MEDICARE: PHILIP R. HARDY M.D.
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 PhysicianME37359FL
2207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianME37359FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730183500
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP R. HARDY M.D.
Provider Business Mailing Address
First Line : 1325 SAN MARCO BLVD
Second Line : SUITE 701
City : JACKSONVILLE
State : FL
Zip : 32207-8568
Country : US
Telephone Number : 904-346-3465
Fax Number : 904-858-6490
Provider Business Practice Location Address
First Line : 1325 SAN MARCO BLVD
Second Line : STE 200
City : JACKSONVILLE
State : FL
Zip : 32207-8566
Country : US
Telephone Number : 904-346-3465
Fax Number : 904-858-6475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 02/19/2014

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Directions to “ PHILIP R. HARDY M.D.” Practice Location

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