Organization
SPECIALTY ORTHOPEDIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATINA MARIE CANNON (OFFICE MANAGER)
(561) 826-2000
Entity
Organization
Contact information
Practice address
9325 GLADES RD, SUITE 205, BOCA RATON, FL 33434-3988
(561) 826-2000
(561) 826-2600
Mailing address
9325 GLADES RD, SUITE 205, BOCA RATON, FL 33434-3988
(561) 826-2000
(561) 826-2600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/17/2008
Last updated
05/04/2010
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