Healther Providers Data Logo

10D2166849 CLIA NUMBER - JACKSONVILLE ORTHOPAEDIC INSTITUTE BAPTIST SOUTH

Laboratory Demographics

CLIA Number: 10D2166849

Facility Name: JACKSONVILLE ORTHOPAEDIC INSTITUTE BAPTIST SOUTH

Facility Address:
14534 OLD ST AUGUSTINE RD STE 3210
JACKSONVILLE, FL
ZIP 32258
Get Directions

Facility Phone Number: 904 880-1260

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1932204989

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 10D2166849
LAB Type Physician Office
Facility Name JACKSONVILLE ORTHOPAEDIC INSTITUTE BAPTIST SOUTH
Street 14534 OLD ST AUGUSTINE RD STE 3210
City JACKSONVILLE
State FL
ZIP 32258
Phone 904 880-1260
CertificateType 4
CertificateEffectiveDate 5/28/2023
CertificateExpirationDate 5/27/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024