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NPI 1457326761

NPI 1457326761 : CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A. : WELLINGTON, FL

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General NPI Number Information
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    NPI Number           |    1457326761
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A. 
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Dates
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    Enumeration Date     |    02/21/2006
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    Last Update Date     |    09/25/2025
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Provider Practice Location Address
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    Address Line         |    10131 FOREST HILL BLVD STE 230 
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    City                 |    WELLINGTON
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    State                |    FL
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    Zip                  |    33414-6109
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    Country              |    US
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    Telephone            |    561-803-8616
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    Fax                  |    561-615-1956
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Provider Business Mailing Address
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    Address Line         |    10131 FOREST HILL BLVD STE 230 
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    City                 |    WELLINGTON
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    State                |    FL
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    Zip                  |    33414-6109
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    Country              |    US
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    Telephone            |    561-803-8616
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    Fax                  |    561-615-1956
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HARVEY  MONTIJO 
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    Credential           |    
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    Telephone            |    561-798-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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