Organization
SANDHILL BONE & JOINT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M OTT DO (OWNER)
(813) 754-0817
Entity
Organization
Contact information
Practice address
511 W ALEXANDER ST, PLANT CITY, FL 33563
(813) 754-0817
(813) 707-1977
Mailing address
P.O. BOX 2065, PLANT CITY, FL 33564
(813) 754-0817
(813) 707-1977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS8868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064698901
—
FL
01
—
34683
BC/BS
FL
01
—
469180
TRICARE
FL
01
—
DB7781
RAILROAD MEDICARE
FL
Enumeration date
06/23/2006
Last updated
09/15/2008
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