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NPI Code Detail

MEDICARE: MCBP ORTHOPEDICS AND NEUROSURGERY PLLC

MEDICARE: MCBP ORTHOPEDICS AND NEUROSURGERY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1851822522
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCBP ORTHOPEDICS AND NEUROSURGERY PLLC
Provider Business Mailing Address
First Line : 4343 N US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34946-6434
Country : US
Telephone Number : 772-467-2677
Fax Number : 772-467-2621
Provider Business Practice Location Address
First Line : 4343 N US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34946-6434
Country : US
Telephone Number : 772-467-2677
Fax Number : 772-467-2621
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. MARC DAVID BRODSKY
Credential : MC
Telephone Number : 772-467-2677
Provider Enumeration Date : 03/24/2017
Last Update Date : 03/24/2017

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Directions to “MCBP ORTHOPEDICS AND NEUROSURGERY PLLC ” Practice Location

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