Healthcare Provider Details

I. General information

NPI: 1457326761
Provider Name (Legal Business Name): CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date: 07/25/2018
Reactivation Date: 08/17/2018

III. Provider practice location address

10131 FOREST HILL BLVD STE 230
WELLINGTON FL
33414-6109
US

IV. Provider business mailing address

10131 FOREST HILL BLVD STE 230
WELLINGTON FL
33414-6109
US

V. Phone/Fax

Practice location:
  • Phone: 561-803-8616
  • Fax: 561-615-1956
Mailing address:
  • Phone: 561-803-8616
  • Fax: 561-615-1956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: HARVEY MONTIJO
Title or Position: PRESIDENT
Credential:
Phone: 561-798-6600