Provider Demographics
NPI:1023378114
Name:ORTHOPEDIC & NEUROSURGERY PARTNERS LLC
Entity Type:Organization
Organization Name:ORTHOPEDIC & NEUROSURGERY PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIPUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-487-8320
Mailing Address - Street 1:644 CESERY BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-7116
Mailing Address - Country:US
Mailing Address - Phone:904-830-4246
Mailing Address - Fax:904-830-4247
Practice Address - Street 1:644 CESERY BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-7116
Practice Address - Country:US
Practice Address - Phone:904-830-4246
Practice Address - Fax:904-830-4247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty