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Organization

ORTHOPEDIC AND SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS HOWARD BONNEAU DC (PRESIDENT)
(954) 610-0048
Entity
Organization

Contact information

Practice address
6030 HOLLYWOOD BLVD, SUITE 250, HOLLYWOOD, FL 33024-7964
(954) 962-9525
(954) 962-9857
Mailing address
1208 NW 144TH TER, PEMBROKE PINES, FL 33028-2927
(954) 610-0048
(954) 962-9857

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH6934
FL

Other

Enumeration date
12/10/2012
Last updated
12/10/2012
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