Ottey Bone and Joint Associates LLC

NPI #1114292422 in Starke, Florida

Provider Information

NPI Number: 1114292422
Entity Type: Organization
Organization Name: Ottey Bone and Joint Associates LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 20, 2012
Last Updated: Sep 23, 2016

Practice Location

Address: 417 W CALL ST
City: Starke
State: Florida
ZIP Code: 32091-3115
Phone: (904) 368-0641

Authorized Official

Name: DERON C OTTEY, M.D.
Title: OWNER
Phone: (904) 368-0641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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