Organization
CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ITTIG MBA, FACMPE (ADMINISTRATOR)
(727) 568-6840
Entity
Organization
Contact information
Practice address
3440 W DR MARTIN LUTHER KING JR BLVD STE 200, TAMPA, FL 33607-6223
(813) 879-2663
(813) 872-0286
Mailing address
625 6TH AVE S STE 450, ST PETERSBURG, FL 33701-4629
(727) 898-2663
(727) 568-6836
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375965208
—
FL
Enumeration date
07/08/2009
Last updated
01/23/2025
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