Organization
BONEMENDER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARINA TABAKMAN (PRACTICE MANAGER/ADMINISTRATOR)
(954) 491-6969
Entity
Organization
Contact information
Practice address
9033 GLADES RD STE D, BOCA RATON, FL 33434-3939
(954) 491-6969
(888) 426-8955
Mailing address
9033 GLADES RD STE D, BOCA RATON, FL 33434-3939
(954) 491-6969
(888) 426-8955
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222259
AVMED
FL
01
—
23404
BC BS OF FLA
FL
05
—
279755100
—
FL
Enumeration date
12/05/2006
Last updated
05/24/2016
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