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Organization

ORTHOPAEDIC FELLOWSHIP GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA C ORTIZ (SENIOR VP OF REVENUE CYCLE)
(954) 874-4600
Entity
Organization

Contact information

Practice address
3399 NW 72ND AVE, SUITE 101, MIAMI, FL 33122-1349
(954) 874-4615
(954) 874-3376
Mailing address
2901 S.W. 149TH AVE., SUITE 400, MIRAMAR, FL 33027-4153
(954) 874-4600
(786) 594-5200

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary

Other

Enumeration date
02/28/2006
Last updated
09/20/2013
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