Organization
STAR ORTHOPEDICS AND SPINE OF FORT MYERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY KOERNER (COO)
(561) 699-6373
Entity
Organization
Contact information
Practice address
12610 WORLD PLAZA LN UNIT 61-2, FORT MYERS, FL 33907-4076
(561) 699-6373
Mailing address
1020 W OAK ST, KISSIMMEE, FL 34741-4113
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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