Organization
THE CENTER FOR BONE AND JOINT DISEASE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE COLLAR (OFFICE MANAGER)
(727) 697-2200
Entity
Organization
Contact information
Practice address
7544 JACQUE RD, HUDSON, FL 34667
(727) 697-2200
Mailing address
PO BOX 628213, ORLANDO, FL 32862-8213
(727) 697-2200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255796700
—
FL
01
—
38329
BCBS
FL
Enumeration date
02/10/2009
Last updated
11/05/2019
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