Organization
FMSG ALL FLORIDA ORTHOPAEDIC ASSOCIATES, LLC
Active
Other names
All Florida Orthopaedic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MANINA BOSWORTH (CHIEF OPERATING OFFICER)
(727) 369-5046
Entity
Organization
Contact information
Practice address
4600 4TH ST N # 4TH, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Mailing address
4600 4TH ST N # 4TH, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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