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Organization
ELITE ORTHOPEDIC SPECIALISTS, LLC
Active
Organization
ELITE ORTHOPEDIC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE DEAN VANDERHOOF A.C.H.E. (CHIEF EXECUTIVE OFFICER)
(813) 505-0790
Entity
Organization
Contact information
Practice address
6918 GUNN HWY, SUITE E, TAMPA, FL 33625-3853
(815) 852-2500
(813) 852-2602
Mailing address
6918 GUNN HWY, SUITE E, TAMPA, FL 33625-3853
(815) 852-2500
(813) 852-2602
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2013
Last updated
03/17/2015
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