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Organization

MCLOVIN ORTHOPAEDICS AND SPINE CENTER

Active
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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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