Organization
COMMUNITY ORTHOPEDICS & CENTER FOR JOINT REPLACEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL PORTH M.D. (DIRECTOR OFFICER)
(954) 724-3400
Entity
Organization
Contact information
Practice address
7225 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2977
(954) 724-3400
(954) 724-9451
Mailing address
7225 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2977
(954) 724-3400
(954) 724-9451
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254166100
—
FL
Enumeration date
03/09/2006
Last updated
12/24/2008
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