Organization
VERITY ORTHOPEDICS AND SPINE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN D BLACK MD (PRESIDENT)
(407) 248-8000
Entity
Organization
Contact information
Practice address
7300 SANDLAKE COMMONS BLVD, STE 220, ORLANDO, FL 32819-8050
(407) 248-8000
(407) 248-8909
Mailing address
7300 SANDLAKE COMMONS BLVD, SUITE 220, ORLANDO, FL 32819-8050
(407) 248-8000
(407) 248-8909
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME92118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001532900
—
FL
01
—
DG1654
RAILROAD MEDICARE
—
Enumeration date
03/22/2007
Last updated
11/30/2011
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