Healthcare Provider Details

I. General information

NPI: 1467195057
Provider Name (Legal Business Name): BONE AND JOINT SURGICAL SUITES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 US HIGHWAY 27 N
SEBRING FL
33870-1323
US

IV. Provider business mailing address

5115 US HIGHWAY 27 N STE 220
SEBRING FL
33870-1323
US

V. Phone/Fax

Practice location:
  • Phone: 863-381-8157
  • Fax:
Mailing address:
  • Phone: 863-593-7207
  • Fax:

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. JUAN CARLOS ALVAREZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 863-385-2222