Healthcare Provider Details

I. General information

NPI: 1982167615
Provider Name (Legal Business Name): TOP TIER ORTHOPEDICS AND CENTER FOR JOINT REPLACEMENT CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 04/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 S STATE ROAD 7 STE 201
MARGATE FL
33068-4033
US

IV. Provider business mailing address

PO BOX 816759
HOLLYWOOD FL
33081-0759
US

V. Phone/Fax

Practice location:
  • Phone: 954-329-9166
  • Fax:
Mailing address:
  • Phone: 954-964-2450
  • Fax: 954-964-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA CORTEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-964-2450