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Organization
ORTHOPEDIC AND SURGERY CENTER LLC
Active
Organization
ORTHOPEDIC AND SURGERY CENTER LLC
Active
Other names
HOLLYWOOD SPINE AND REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BONNEAU DC (PRESIDENT)
(954) 432-9993
Entity
Organization
Contact information
Practice address
6030 HOLLYWOOD BLVD, SUITE 250, HOLLYWOOD, FL 33024-7964
(954) 962-9525
(954) 962-9857
Mailing address
6030 HOLLYWOOD BLVD, SUITE 250, HOLLYWOOD, FL 33024-7964
(954) 962-9525
(954) 962-9857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
10/15/2013
Last updated
10/16/2013
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