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Organization
ORTHOPAEDIC SPECIALISTS OF MIAMI, PLLC
Active
Organization
ORTHOPAEDIC SPECIALISTS OF MIAMI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR TILLER (REGIONAL DIRECTOR OF MANAGED CARE)
(615) 332-1439
Entity
Organization
Contact information
Practice address
4730 N HABANA AVE, SUITE 104, TAMPA, FL 33614-7163
(813) 872-4492
Mailing address
4730 N HABANA AVE, SUITE 104, TAMPA, FL 33614-7163
(813) 872-4492
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS12597
FL
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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