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General NPI Number Information
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NPI Number | 1467943787
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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 | 05/22/2018
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 582 NW UNIVERSITY BLVD STE 100
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2264
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Country | US
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Telephone | 561-798-6600
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Fax | 561-753-3328
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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 | 561-798-6600
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Fax | 561-753-3328
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Authorized Official
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Title or Position | PARTNER
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Name | HARVEY MONTIJO
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Credential | MD
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State | FL
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Taxonomy #7
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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 | FL
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