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Organization

COMMUNITY ORTHOPEDICS MANAGEMENT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANUEL PORTH M.D. (DIRECTOR)
(954) 724-9686
Entity
Organization

Contact information

Practice address
7225 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2908
(954) 724-9686
(954) 724-9721
Mailing address
7225 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2908
(954) 724-9686
(954) 724-9721

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME28637
FL

Other

Enumeration date
08/20/2009
Last updated
08/20/2009
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