Bahri Orthopedics & Sports Medicine Clinic, P.L.
Orthopaedic Surgery in Jacksonville, FL. Organization (NPI-2).
NPI number1962598623
StatusActive
Last updated in NPPESMay 7, 2015
Details
- NPI
- 1962598623
- Entity type
- Organization (NPI-2)
- Legal business name
- Bahri Orthopedics & Sports Medicine Clinic, P.L.
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- May 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Practice location
6100 Kennerly RoadSuite 101
Jacksonville, FL 32216
Phone 904-739-0050
Mailing address
6100 Kennerly RoadSuite 101
Jacksonville, FL 32216
Phone 904-739-0050
Authorized official
Lori Ball Bahri
Administrator
9047390050
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