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1124498811 NPI number — CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.

NPI Number: 1124498811
Health Care Provider/Practitioner: CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.

Information about “1124498811” NPI (CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.) exists in 1124498811 in HTML format HTML  |  1124498811 in plain Text format TXT  |  1124498811 in PDF (Portable Document Format) PDF  |  1124498811 in an XML format XML  formats.

NPI Number : 1124498811 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124498811",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.",
    "ParentOrgTIN": null,
    "OrgName": "CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10131 FOREST HILL BLVD STE 230",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WELLINGTON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33414-6109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-798-6600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "440 N STATE ROAD 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROYAL PALM BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33411-3504",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-798-6600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/07/2015",
    "LastUpdateDate": "06/19/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "07/25/2018",
    "NPIReactivationDate": "08/17/2018",
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MONTIJO",
    "AuthorizedOfficialFirstName": "HARVEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "561-803-8616",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207X00000X",
        "TaxonomyName": "Orthopaedic Surgery Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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