PHILIP R. HARDY (NPI# 1730183500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730183500 |
| Entity Type | Individual |
| Full Name | PHILIP R. HARDY |
| Credential | M.D. |
| Practice Address |
1325 San Marco Blvd Ste 200 Jacksonville FL 32207-8566 |
| Mailing Address |
1325 San Marco Blvd Suite 701 Jacksonville FL 32207-8568 |
| Practice Telephone | 9043463465 |
| Practice Fax Number | 9048586475 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9048586490 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME37359 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
ME37359 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 00664397A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548247869 | Philip T Hardy | Family Medicine | 11602 Lake Underhill Rd, Suite 119, Orlando, FL 32825-4458 | 2005-12-28 |
| Street Address |
1325 SAN MARCO BLVD STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794496 | Rachel Keene | Specialist/Technologist | 1325 San Marco Blvd, Jacksonville, FL 32207-8568 | 2020-09-10 |
| 1396201638 | Neutt Dellareeda King | Nurse Practitioner | 1325 San Marco Blvd, Jacksonville, FL 32207-8568 | 2019-02-12 |
| 1396282836 | Peter Christopher Mcdermott | Nurse Practitioner | 1325 San Marco Blvd, 300, Jacksonville, FL 32207-8568 | 2017-01-23 |
| 1215472014 | Lindsay Moore | Nurse Practitioner | 1325 San Marco Blvd, Reid Building Ste 300, Jacksonville, FL 32207-8568 | 2017-01-03 |
| 1659828994 | Aimee Roberts-serrato | Nurse Practitioner | 1325 San Marco Blvd, Suite 200, Jacksonville, FL 32207-8568 | 2016-09-03 |
| 1265985030 | Laran Phelps | Massage Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2016-07-28 |
| 1497108310 | Kelly Jackson | Massage Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2016-07-15 |
| 1376902221 | Joshua Jackson | Nurse Practitioner | 1325 San Marco Blvd, Reid Bldg., Suite 300, Jacksonville, FL 32207-8568 | 2016-02-21 |
| 1063889814 | Emily Lisa Rea | Nurse Practitioner | 1325 San Marco Blvd, Reid Building Suite 300, Jacksonville, FL 32207-8568 | 2015-08-27 |
| 1194192153 | Venessa Carmel | Physical Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2015-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518233956 | Joshua Dov Rogozinski | Orthopaedic Surgery | 3716 University Blvd S., Suite 3, Jacksonville, FL 32216 | 2012-03-29 |
| 1467071829 | Kim Orthopedic LLC | Orthopaedic Surgery | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2020-04-15 |
| 1235533829 | Heekin Clinic LLC | Orthopaedic Surgery | 2 Shircliff Way, Ste 605 Depaul Building, Jacksonville, FL 32204-4753 | 2014-10-10 |
| 1427465145 | Heekin Orthopedic Joint Replacement Specialist | Orthopaedic Surgery | 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204-4712 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289377 | Ortho Florida, LLC | Orthopaedic Surgery | 5130 Linton Blvd Ste B2, Delray Beach, FL 33484-6595 | 2018-06-19 |
| 1801318423 | Royal Palm Beach Rehab, Corp | Orthopaedic Surgery | 600 University Blvd Ste 104, Jupiter, FL 33458-2778 | 2017-07-14 |
| 1902255854 | Carlos Segovia | Orthopaedic Surgery | 17779 Sw 2nd Street, Pembroke Pines, FL 33029 | 2016-06-10 |
| 1437520509 | Timothy Joseeph Forness | Orthopaedic Surgery | 3802 Dogwood Ave, Palm Beach Gardens, FL 33410-4755 | 2015-10-14 |
| 1275927766 | Robert O'leary | Orthopaedic Surgery | 1150 Campo Sano Ave Fl 2, Coral Gables, FL 33146-1174 | 2015-03-24 |
| 1134548019 | Alexander David Gaukhman | Orthopaedic Surgery | 670 Glades Rd Ste 300, Boca Raton, FL 33431-6464 | 2014-04-08 |
| 1124379706 | Elvis Grandic Md Pa | Orthopaedic Surgery | 7744 Dawson Ct, Lake Worth, FL 33467-7719 | 2012-09-24 |
| 1104184951 | Thomas Jacob Seales | Orthopaedic Surgery | 2021 Nw 136th Ave Apt 284, Sunrise, FL 33323-5375 | 2012-04-30 |
| 1558629527 | Tri-county Orthopaedic Center, Pa | Orthopaedic Surgery | 765 Hwy 466, Lady Lake, FL 32159-6340 | 2012-04-27 |
| 1356636591 | Obinna Ogechukwu Adigweme | Orthopaedic Surgery | 2699 Lee Rd Ste 100, Winter Park, FL 32789 | 2011-06-16 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.