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Organization

HIGHLAND CENTER FOR ORTHOPEDICS & UPPER EXTREMITY SURGERY P A

Active
Other names
Highland Center for Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN MICHAEL JURBALA MD (PRESIDENT)
(863) 709-8777
Entity
Organization

Contact information

Practice address
3317 US HIGHWAY 98 S STE 9, LAKELAND, FL 33803-8316
(863) 709-8777
(863) 709-1060
Mailing address
3317 US HIGHWAY 98 S STE 9, LAKELAND, FL 33803-8316
(863) 709-8777
(863) 709-1060

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME70116
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10D2004874
CLIA LICENSE FOR 3317 US HWY 98 SOUTH STE 9
FL
Enumeration date
09/21/2005
Last updated
07/11/2024
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