Ocean Shark Ortho
NPI #1730761743 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1730761743
- Entity Type
- Organization
- Organization Name
- Ocean Shark Ortho
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 28, 2021
- Last Updated
- Apr 28, 2021
Practice Location
- Address
- 116 NEWPORT LN
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32082-1514
- Phone
- (573) 635-7880
Authorized Official
- Name
- KERI TARANTINO
- Title
- AUTHORIZED AGENT
- Phone
- (913) 526-5282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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