# ORTHOPAEDIC SPINE & FRACTURE CLINIC

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

## Provider details

- **NPI number:** 1306834841
- **Authorized official:** MR. MANUEL A FONT (OFFICE MANAGER)
- **Authorized official phone:** (561) 296-2345

## Contact information

- **Practice address:** 3898 VIA POINCIANA, SUITE 18, LAKE WORTH, FL 33467-2951
- **Practice address phone:** (561) 296-2345
- **Practice address fax:** (561) 296-2346
- **Mailing address:** PO BOX 540249, GREENACRES, FL 33454-0249
- **Mailing address phone:** (561) 296-2345
- **Mailing address fax:** (561) 296-2346

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 08/22/2020