Sports Ortho Llc | |
3880 Coconut Creek Pkwy Suite 303 Coconut Creek FL 33066-1652 | |
(561) 826-2000 | |
(561) 826-2600 |
Full Name | Sports Ortho Llc |
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Speciality | Orthopaedic Surgery |
Location | 3880 Coconut Creek Pkwy, Coconut Creek, Florida |
Authorized Official Name and Position | Shatina Cannon (MANAGER) |
Authorized Official Contact | 5618262000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sports Ortho Llc 9325 Glades Rd Suite 205 Boca Raton FL 33434-3988 Ph: (561) 826-2000 | Sports Ortho Llc 3880 Coconut Creek Pkwy Suite 303 Coconut Creek FL 33066-1652 Ph: (561) 826-2000 |
NPI Number | 1689949224 |
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Provider Enumeration Date | 03/15/2012 |
Last Update Date | 09/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689949224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
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