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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
GRACE NICOLE MARTINO (BILLING DEPARTMENT)
(727) 857-4397
Entity
Organization
Contact information
Practice address
16506 POINTE VILLAGE DR STE 109, LUTZ, FL 33558-5255
(727) 605-3808
(352) 503-2361
Mailing address
7544 JACQUE RD, HUDSON, FL 34667-7162
(727) 697-2200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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