Organization
STAR ORTHOPEDICS AND SPINE OF TAMPA
Active
Organization
STAR ORTHOPEDICS AND SPINE OF TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY KOERNER (OFFICE MANAGER)
(561) 908-3200
Entity
Organization
Contact information
Practice address
10676 BLOOMINGDALE AVE # 3, RIVERVIEW, FL 33578-4292
(813) 302-1714
Mailing address
10676 BLOOMINGDALE AVE # 3, RIVERVIEW, FL 33578-4292
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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