Healthcare Provider Details

I. General information

NPI: 1447941976
Provider Name (Legal Business Name): ISLAND ORTHOPAEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46-001 KAMEHAMEHA HWY STE 412
KANEOHE HI
96744-3735
US

IV. Provider business mailing address

3382 WAIALAE AVE
HONOLULU HI
96816-2637
US

V. Phone/Fax

Practice location:
  • Phone: 808-548-7033
  • Fax: 808-548-7034
Mailing address:
  • Phone: 808-548-7033
  • Fax:

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: ALEXANDER CHARLES GARBER
Title or Position: OWNER/FOUNDER
Credential: MD, PHD
Phone: 808-548-7033