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Jason W Thackeray Md Pa
Sports Medicine (Orthopedic Surgery) Physician in Fort Walton Beach, Florida
NPI 1568504173

Jason W Thackeray Md Pa is a Sports Medicine (Orthopedic Surgery) Physician based in Fort Walton Beach, FL and is specialized in Sports Medicine. Jason W Thackeray Md Pa practices in Fort Walton Beach, FL. The NPI Number for Jason W Thackeray Md Pa is 1568504173 and holds a License No. ME77615 (Florida).

The current practice location address for Jason W Thackeray Md Pa is 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL and can be reached out via phone at 850-863-2153 and via fax at 850-315-9350.

Location: 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL, 32547-6645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568504173
Provider Name
Jason W Thackeray Md Pa
Credential
Provider Entity Type
Organization
Address
1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL, 32547-6645
Phone Number
850-863-2153
Fax Number
850-315-9350
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17147 01 FL BS PROVIDER NUMBER
265809700 05 FL
1568504173 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1034 Mar Walt Dr Ste 100
City
Fort Walton Beach
State
Florida
Zip
32547-6645
Phone Number
850-863-2153
Fax Number
850-315-9350
person
Provider Business Mailing Address Details
Address
1034 Mar Walt Dr Ste 100
City
Fort Walton Beach
State
Florida
Zip
32547-6645
Phone Number
850-863-2153
Fax Number
850-315-9350
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Sports Medicine
Taxonomy
207XX0005X
License No.
ME77615 (Florida)
Definition
An orthopedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
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