Healthcare Provider Details

I. General information

NPI: 1801059993
Provider Name (Legal Business Name): BONE & JOINT TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 W FLAGLER ST SUITE 206
MIAMI FL
33144-2153
US

IV. Provider business mailing address

8000 WEST FLAGER SUITE 206
MIAMI FL
33144
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-6010
  • Fax: 786-235-0892
Mailing address:
  • Phone: 305-270-6010
  • Fax: 786-235-0892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTIN L MADORSKY
Title or Position: OWNER
Credential: M.D.
Phone: 305-270-6010