# CUTTING EDGE ORTHOPEDIC & SPINE LLC

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

## Provider details

- **NPI number:** 1598384497
- **Authorized official:** JENEANE M. WAKULA (OFFICE MANAGER)
- **Authorized official phone:** (772) 263-1642

## Contact information

- **Practice address:** 4711 SCENIC HWY, PENSACOLA, FL 32504-9018
- **Practice address phone:** (772) 546-9591
- **Practice address fax:** (772) 546-9535
- **Mailing address:** 9044 SE BRIDGE RD, HOBE SOUND, FL 33455-5313
- **Mailing address phone:** (772) 546-9591
- **Mailing address fax:** (772) 546-9535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2020
- **Last updated:** 04/10/2020