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NPI Code Detail

MEDICARE: JEWETT ORTHOPAEDIC CLINIC LLC

MEDICARE: JEWETT ORTHOPAEDIC CLINIC LLC
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
1207XS0106XOrthopaedic Hand Surgery PhysicianFL
2207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianFL
3207XS0117XOrthopaedic Surgery of the Spine PhysicianFL
4207XX0004XOrthopaedic Foot and Ankle Surgery PhysicianFL
5207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianFL
6207XX0801XOrthopaedic Trauma PhysicianFL
7208100000XPhysical Medicine & Rehabilitation PhysicianFL
82085B0100XBody Imaging PhysicianFL
92471B0102XBone Densitometry Radiologic TechnologistFL
10332B00000XDurable Medical Equipment & Medical SuppliesFL
112085N0700XNeuroradiology PhysicianFL
12335E00000XProsthetic/Orthotic SupplierFL
132085R0202XDiagnostic Radiology PhysicianFL
14207X00000XOrthopaedic Surgery PhysicianFL

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 : 1821097437
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWETT ORTHOPAEDIC CLINIC LLC
Provider Business Mailing Address
First Line : 1285 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4949
Country : US
Telephone Number : 407-647-2287
Fax Number : 407-643-1300
Provider Business Practice Location Address
First Line : 1285 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4949
Country : US
Telephone Number : 407-647-2287
Fax Number : 407-643-1300
Authorized Official
Title or Position : C.E.O.
Name : DR. MICHAEL V JABLONSKI
Credential : M.D.
Telephone Number : 407-647-2287
Provider Enumeration Date : 07/15/2005
Last Update Date : 01/14/2015

Similar Medicare Providers

1417956277 — DR. ADAM S. FENICHEL M.D.
Practice Location Address:
1285 ORANGE AVE
WINTER PARK, FL
32789-4949
Practice Phone: 407-647-2287
Practice Fax: 407-643-2801
1659379485 — DR. JOSEPH B. BILLINGS D.O.
Practice Location Address:
1285 ORANGE AVE
WINTER PARK, FL
32789-4949
Practice Phone: 407-647-2287
Practice Fax: 407-643-1300
1184622979 — DR. BRIAN K. BARNARD M.D.
Practice Location Address:
1285 ORANGE AVE
WINTER PARK, FL
32789-4949
Practice Phone: 407-647-2287
Practice Fax: 407-643-2801
1508865130 — DR. HUGH B. MORRIS M.D.
Practice Location Address:
1285 ORANGE AVE
WINTER PARK, FL
32789-4949
Practice Phone: 407-647-2287
Practice Fax: 407-643-1300
1316946049 — DR. KENNETH A. KRUMINS M.D.
Practice Location Address:
1285 ORANGE AVE
WINTER PARK, FL
32789-4949
Practice Phone: 407-647-2287
Practice Fax: 407-643-1300
1649279308 — COLLEEN M. ZITTEL M.D.
Practice Location Address:
1285 ORANGE AVE
WINTER PARK, FL
32789-4949
Practice Phone: 407-647-2287
Practice Fax: 407-643-2801

Directions to “JEWETT ORTHOPAEDIC CLINIC LLC ” Practice Location

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