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Organization
IVY SPINE & ORTHOPEDICS, LLC
Active
Organization
IVY SPINE & ORTHOPEDICS, LLC
Active
Parent organization
IVY SPINE & ORTHOPEDICS, LLC
Other names
Ivy Spine and Orthopedics, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IVY SPINE & ORTHOPEDICS, LLC
Authorized official
JENNIFER GATES (PRACTICE MANAGER)
(850) 628-7679
Entity
Organization
Contact information
Practice address
2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4424
(850) 628-7679
(850) 257-8099
Mailing address
2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4424
(850) 628-7679
(850) 257-8099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
09/07/2021
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