Orthopaedic Clinic Of Daytona Beach Pa

Specialty details in registry · Port Orange, FL

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At a glance

1165 Dunlawton Ave, Port Orange, FL 32127-2924

NPPES record updated Aug 2, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1165 Dunlawton Ave Suite 102
Port Orange, FL 32127-2924
Professional details: NPI, taxonomy & registry record
NPI1063965325
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332B00000X
Enumeration date
Aug 3, 2016
Record updated
Aug 2, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Orthopedic Surgery

207X00000X

Specialty details in registry

332B00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1165 Dunlawton Ave
Suite 102
Port Orange, FL 32127-2924
Phone
(386) 255-4596
Fax
(386) 258-3561
Mailing address
1865 LPGA BLVD

DAYTONA BEACH, FL 321177108
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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