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Organization

HG ORTHOPEDICS

Active
Other names
APEX ORTHO SPINE
Organization subpart
No

Provider details

NPI number
Authorized official
LORI BEATTY (MANAGER)
(772) 262-0852
Entity
Organization

Contact information

Practice address
266 NW PEACOCK BLVD STE 204, PORT ST LUCIE, FL 34986-2271
(772) 262-0852
(772) 245-4235
Mailing address
266 NW PEACOCK BLVD STE 204, PORT ST LUCIE, FL 34986-2271
(772) 262-0852

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0117X
Orthopaedic Surgery of the Spine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821080946
TYPE 1 NPI
FL
Enumeration date
11/30/2021
Last updated
03/29/2024
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