Organization
ORTHO FLORIDA LLC
Active
Parent organization
ORTHO FLORIDA. LLC
Other names
Georgiy Brusovanik
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA. LLC
Authorized official
JASON TOCCI (CEO)
(954) 410-5194
Entity
Organization
Contact information
Practice address
7150 W 20TH AVE, SUITE 209, HIALEAH, FL 33016-5529
(305) 467-5678
(305) 503-7006
Mailing address
660 GLADES RD, SUITE 460, BOCA RATON, FL 33431-6465
(561) 300-1779
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MDR-4545
HI
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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