# PLANTATION ORTHO, LLC

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

## Provider details

- **NPI number:** 1871535377
- **Authorized official:** GARY DUNCAN (VP)
- **Authorized official phone:** (954) 583-8130

## Contact information

- **Practice address:** 4101 NW 4TH ST, SUITE 305, PLANTATION, FL 33317-2850
- **Practice address phone:** (954) 583-8130
- **Mailing address:** 4101 NW 4TH ST, SUITE 305, PLANTATION, FL 33317-2850
- **Mailing address phone:** (954) 583-8130

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 09/11/2007