MEDICARE: ORTHOPAEDIC SPINE & FRACTURE CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1306834841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC SPINE & FRACTURE CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 540249
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33454-0249
Country	:	US
Telephone Number	:	561-296-2345
Fax Number	:	561-296-2346

Provider Business Practice Location Address
First Line	:	3898 VIA POINCIANA
Second Line	:	SUITE 18
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2951
Country	:	US
Telephone Number	:	561-296-2345
Fax Number	:	561-296-2346

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. MANUEL A FONT
Credential	:
Telephone Number	:	561-296-2345

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1619918141 — ISMAT HOSSAIN M.D.
Practice Location Address:

3898 VIA POINCIANA , SUITE 19
LAKE WORTH, FL
33467-2951

Practice Phone: 561-619-6480
Practice Fax: 561-619-6418

1518072214 — MR. ENDOR E RICHARDSON PT
Practice Location Address:

3898 VIA POINCIANA , SUITE 12
LAKE WORTH, FL
33467-2951

Practice Phone: 561-966-9273
Practice Fax: 561-966-8810

1831295559 — RICHARD WHITTEMORE PA
Practice Location Address:

3898 VIA POINCIANA , SUITE 13
LAKE WORTH, FL
33467-2951

Practice Phone: 561-967-2566
Practice Fax: 561-967-4556

1245337906 — MR. RYAN SAMUEL BONILLA MPT
Practice Location Address:

3898 VIA POINCIANA , SUITE 12
LAKE WORTH, FL
33467-2951

Practice Phone: 561-966-9273
Practice Fax: 561-966-8810

1376632612 — PHYSIOTHERAPY ASSOCIATES INC
Practice Location Address:

3898 VIA POINCIANA , SUITE 12
LAKE WORTH, FL
33467-2951

Practice Phone: 561-966-9273
Practice Fax: 561-966-8810

1225176845 — KATHERINE L DEVEREAUX' PT
Practice Location Address:

3898 VIA POINCIANA , SUITE 12
LAKE WORTH, FL
33467-2951

Practice Phone: 561-966-9273
Practice Fax: 561-966-8810

Directions to “ORTHOPAEDIC SPINE & FRACTURE CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.