First Coast Orthopedic Associates LLC
NPI #1053005348 in Jacksonville, Florida
Provider Information
- NPI Number
- 1053005348
- Entity Type
- Organization
- Organization Name
- First Coast Orthopedic Associates LLC
- Primary Specialty
- Internal Medicine - Sports Medicine
- Enumeration Date
- Jun 8, 2023
- Last Updated
- Jun 8, 2023
Practice Location
- Address
- 6067 KENNERLY RD
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32216-4305
- Phone
- (904) 731-3131
Authorized Official
- Name
- MR. HAISSAM BARAKAT
- Title
- CREDENTIALING
- Phone
- (904) 962-6005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Sports Medicine — Sports Medicine |
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