person
Jorg A Bober, DPM
Sports Medicine Podiatrist in Orange Park, Florida
NPI 1720108012

Jorg A Bober is a Sports Medicine Podiatrist based in Orange Park, FL and is specialized in Sports Medicine. Jorg A Bober practices in Orange Park, FL and has the professional credentials of DPM. The NPI Number for Jorg A Bober is 1720108012 and holds a License No. PO3942 (Florida).

The current practice location address for Jorg A Bober is 1409 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-637-0037.

Location: 1409 Kingsley Ave, Orange Park, FL, 32067-1653
person
Provider Profile Details
NPI Number
1720108012
Provider Name
Jorg A Bober
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1409 Kingsley Ave, Orange Park, FL, 32067-1653
Phone Number
904-637-0037
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6605219 01 FL CIGNA
002908200 05 FL
65967 01 FL BCBS
6605219 01 FL GREAT WEST
PO3294 01 FL FL STATE LICENSE
7923937 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
1409 Kingsley Ave
City
State
Zip
32073-4537
Phone Number
904-637-0037
Fax Number
person
Provider Business Mailing Address Details
Address
1409 Kingsley Ave
City
State
Zip
32073-4537
Phone Number
904-637-0037
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
PO3294 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO3942 (Florida)
Definition
Definition to come...
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