Organization
FORT PIERCE ORTHOPAEDICS LLC
Active
Parent organization
FORT PIERCE ORTHOPAEDICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORT PIERCE ORTHOPAEDICS LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
3683 S MIAMI AVE STE 500, MIAMI, FL 33133-4238
(305) 285-5025
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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