# BONEMENDER, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033277850
- **Authorized official:** MISS MARINA TABAKMAN (PRACTICE MANAGER/ADMINISTRATOR)
- **Authorized official phone:** (954) 491-6969

## Contact information

- **Practice address:** 9033 GLADES RD STE D, BOCA RATON, FL 33434-3939
- **Practice address phone:** (954) 491-6969
- **Practice address fax:** (888) 426-8955
- **Mailing address:** 9033 GLADES RD STE D, BOCA RATON, FL 33434-3939
- **Mailing address phone:** (954) 491-6969
- **Mailing address fax:** (888) 426-8955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 05/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 222259 | AVMED | FL |
| 01 | — | 23404 | BC BS OF FLA | FL |
| 05 | — | 279755100 | — | FL |