Duval County Orthopedic Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS13758 Issued in FL

Legal business name

DUVAL COUNTY ORTHOPEDIC ASSOCIATES

Practice address

1050 Riverside Ave
Jacksonville, FL 32204-4142

Phone

(772) 245-8397

NPI assigned

Jan 17, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeneane Marie Wakula

Title

Office Manager

Phone

(772) 546-9591

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1124564919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 KENNESAW PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329342903",
            "telephone_number": "954-818-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044142",
            "telephone_number": "772-245-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVAL COUNTY ORTHOPEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "WAKULA",
        "authorized_official_first_name": "JENEANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-546-9591"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS13758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren K Dutton, MD
• Duval Aps LLC
• Duval County Health Department
• Duval County Health Department
• Duval County Health Department Pharmacy
• Duval County Public Schools
• Duval County Public Schools
• Duval County Public Schools
• Duval County Public Schools
• Duval County Public Schools

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.