Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pensacola Bone & Joint Clinic PA

Organization Orthopaedic Surgery Physician · NPI 1104819499

Pensacola Bone & Joint Clinic PA is an Orthopaedic Surgery Physician in Pensacola, Florida. Licensed in Florida and Texas. Registered with an NPI since 2005.

Licensed in
FL, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5147 N 9th Ave Ste 110
Pensacola, FL 32504-8771
Phone: (850) 479-7229
Fax: (850) 479-7250
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Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME0053867 (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence L1829 (TX)

Record details

NPI number1104819499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dejong — President · (850) 479-7229
NPI enumeratedAugust 23, 2005
Last updated in NPPESAugust 20, 2009
Mailing address5147 N 9th Ave, Suite 110, Pensacola, FL 32504-8771

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