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John Gregory Atwater MD PA

Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Vero Beach, FL. Organization (NPI-2).

NPI number1982110094
StatusActive
Last updated in NPPESJan 26, 2018

Details

NPI
1982110094
Entity type
Organization (NPI-2)
Legal business name
John Gregory Atwater MD PA
Organization subpart
No
Enumeration date
Dec 27, 2017
Last updated
Jan 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the SpineMe119810FLYes

Practice location

1260 37th St Ste 102
Vero Beach, FL 32960-6567

Phone 772-213-9800 · Fax 772-213-9813

Mailing address

1260 37th St Ste 102
Vero Beach, FL 32960-6567

Phone 772-213-9800 · Fax 772-213-9813

Authorized official

John Gregory Atwater
President
3092874621

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