Organization
MCLOVIN ORTHOPAEDICS AND SPINE CENTER
Active
Other names
Bay Orthopaedics and Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON N HOLEN DO (PHYSICIAN OWNER)
(855) 957-7463
Entity
Organization
Contact information
Practice address
5901 SUN BLVD, SUITE #206, ST PETERSBURG, FL 33715-1166
(855) 957-7463
Mailing address
PO BOX 5776, CLEARWATER, FL 33758-5776
(352) 222-4138
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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