Hardy, Philip R.

Hardy, Philip R. is an individual health care provider with primary practice located at 1325 San Marco Blvd Ste 200, Jacksonville FL 32207-8566. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Hardy, Philip R. can be contacted via phone (904) 346-3465.

Contact Information

Primary practice address
1325 San Marco Blvd Ste 200 Jacksonville FL 32207-8566
Phone: (904) 346-3465
Fax: (904) 858-6475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME37359 Florida
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X ME37359 Florida

Profile Details

NPI number 1730183500
LBN Legal business name Hardy, Philip R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730183500 NPPES
Florida MEDICAID 00664397A

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