# CHRISTIAN ORTHOPEDIC MEDICAL CENTER

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

## Provider details

- **NPI number:** 1154537025
- **Authorized official:** JOHN D RHODEN (BILLING SUPERVISOR)
- **Authorized official phone:** (954) 677-5321

## Contact information

- **Practice address:** 708-A MARTIN LUTHER KING JR BLVD, TAMPA, FL 33063
- **Practice address phone:** (813) 228-8040
- **Practice address fax:** (813) 228-8010
- **Mailing address:** 708-A MARTIN LUTHER KING JR BLVD, TAMPA, FL 33063
- **Mailing address phone:** (813) 228-8040
- **Mailing address fax:** (813) 228-8010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020