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Organization

PLANTATION ORTHO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY DUNCAN (VP)
(954) 583-8130
Entity
Organization

Contact information

Practice address
4101 NW 4TH ST, SUITE 305, PLANTATION, FL 33317-2850
(954) 583-8130
Mailing address
4101 NW 4TH ST, SUITE 305, PLANTATION, FL 33317-2850
(954) 583-8130

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
06/11/2006
Last updated
09/11/2007
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