Organization
SPORTS AND ORTHOPEDIC CENTER, PA
Active
Other names
Walk-In Orthopedics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH K GUPTA (CEO)
(561) 314-7200
Entity
Organization
Contact information
Practice address
4705 N FEDERAL HWY, BOCA RATON, FL 33431-5135
(561) 220-2622
Mailing address
6280 W SAMPLE RD STE 203, CORAL SPRINGS, FL 33067-3173
(954) 481-9942
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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