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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