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General NPI Number Information
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NPI Number | 1164963252
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC CENTER OF PALM BEACH COUNTY, LLC
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 180 JFK DR SUITE 110
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City | ATLANTIS
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State | FL
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Zip | 33462-6641
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Country | US
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Telephone | 561-967-6500
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Fax | 561-433-4175
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Provider Business Mailing Address
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Address Line | 1221 S STATE ROAD 7 SUITE 200
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City | WELLINGTON
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State | FL
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Zip | 33414-6212
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Country | US
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Telephone | 561-967-6500
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Fax | 561-433-4175
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Authorized Official
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Title or Position | OPERATIONS
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Name | CHRISTINA MARTINEZ
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Credential |
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Telephone | 561-967-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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