# COMMUNITY ORTHOPEDICS & CENTER FOR JOINT REPLACEMENT, INC

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

## Provider details

- **NPI number:** 1477521953
- **Authorized official:** DR. MANUEL PORTH M.D. (DIRECTOR OFFICER)
- **Authorized official phone:** (954) 724-3400

## Contact information

- **Practice address:** 7225 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2977
- **Practice address phone:** (954) 724-3400
- **Practice address fax:** (954) 724-9451
- **Mailing address:** 7225 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2977
- **Mailing address phone:** (954) 724-3400
- **Mailing address fax:** (954) 724-9451

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 12/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 254166100 | — | FL |