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Organization
ORTHOFAST
Active
Organization
ORTHOFAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEMAK (CEO)
(205) 329-7501
Entity
Organization
Contact information
Practice address
104 CHELSEA POINT DR, CHELSEA, AL 35043-4100
(205) 453-7550
(205) 719-8889
Mailing address
1286 OAK GROVE RD STE 100, BIRMINGHAM, AL 35209-6955
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/06/2017
Last updated
08/21/2019
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