Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Orthopaedic Trauma
Enumerated
May 16, 2006
License(s)
75287 (GA), 39104 (SC), 01059920A (IN), 39104 (SC), ME122977 (FL), 58653 (AZ), 036155689 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 370 | Fortson, GA 31808-0370 | |
| LOCATION | 1431 SW 1ST AVE | Ocala, FL 34471-6500 | 352-401-1000 |
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