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Organization
THE CENTER FOR BONE AND JOINT DISEASE, PA
Active
Organization
THE CENTER FOR BONE AND JOINT DISEASE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE COLLAR (OFFICE MANAGER)
(727) 697-2200
Entity
Organization
Contact information
Practice address
7544 JACQUE RD, HUDSON, FL 34667
(727) 697-2200
Mailing address
PO BOX 628213, ORLANDO, FL 32862-8213
(727) 697-2200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/10/2009
Last updated
11/05/2019
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