Organization
CUTTING EDGE ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE M. WAKULA (OFFICE ADMINISTRATOR)
(772) 263-1642
Entity
Organization
Contact information
Practice address
1917 ASHLAND ST, HOUSTON, TX 77008-3907
(915) 213-0815
Mailing address
9044 SE BRIDGE RD, HOBE SOUND, FL 33455-5313
(772) 546-9591
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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