Basic Information
| Provider Information | |||||||||
| NPI: | 1114249042 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | JOHN M. FLINCHBAUGH D.O., P.L. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1689 EAGLE HARBOR PKWY E | ||||||||
| Address2: | SUITE A | ||||||||
| City: | ORANGE PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320034817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042691366 | ||||||||
| FaxNumber: | 9042649750 | ||||||||
| Practice Location | |||||||||
| Address1: | 1689 EAGLE HARBOR PKWY E | ||||||||
| Address2: | SUITE A | ||||||||
| City: | ORANGE PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320034817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042691366 | ||||||||
| FaxNumber: | 9042649750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2010 | ||||||||
| LastUpdateDate: | 02/19/2010 | ||||||||
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| AuthorizedOfficialLastName: | FLINCHBAUGH | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9042691366 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | OS4262 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.