John A Prodoehl, M.D. Valid NPI

Individual provider · Orthopaedic Surgery Physician · New Smyrna Beach, FL

NPI

1750494340

Type

Individual (Type 1)

Primary specialty

Orthopaedic Surgery Physician (Orthopaedic Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207X00000X

License number

ME162392 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-16

Last updated

2025-05-29