# THE CENTER FOR BONE AND JOINT DISEASE, PA

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

## Provider details

- **NPI number:** 1568601862
- **Authorized official:** MS. GRACE COLLAR (OFFICE MANAGER)
- **Authorized official phone:** (727) 697-2200

## Contact information

- **Practice address:** 7544 JACQUE RD, HUDSON, FL 34667
- **Practice address phone:** (727) 697-2200
- **Mailing address:** PO BOX 628213, ORLANDO, FL 32862-8213
- **Mailing address phone:** (727) 697-2200

## Taxonomy

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