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General NPI Number Information
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NPI Number | 1538336839
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Entity Type | Organization
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Legal Business Name | BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES,LLC
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 1625 SE 3RD AVE SUITE 700
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2521
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Country | US
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Telephone | 954-463-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 4440 SHERIDAN ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3535
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Country | US
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Telephone | 954-963-3500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY B WORTH
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Credential | M.D.
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Telephone | 954-963-3500
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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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