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Organization
FLORIDA MUSCULOSKELETAL SURGICAL GROUP LLC
Active
Organization
FLORIDA MUSCULOSKELETAL SURGICAL GROUP LLC
Active
Other names
ORTHOCARE Florida
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA SPENCER (CREDENTIALING MANAGER)
(727) 456-4873
Entity
Organization
Contact information
Practice address
4600 4TH ST N, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Mailing address
4600 4TH ST N, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
6735700001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003UZ
BCBS
FL
05
—
007968900
—
FL
01
—
6735700001
MEDICARE DME PTAN
FL
Enumeration date
01/09/2013
Last updated
02/05/2020
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