MEDICARE: NATIONAL ORTHOPEDICS AND NEUROSURGERY PA

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	ME64441	FL

General Provider Information

NPI Number	:	1699897116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL ORTHOPEDICS AND NEUROSURGERY PA

Provider Business Mailing Address
First Line	:	6699 W BOYNTON BEACH BLVD STE B
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3527
Country	:	US
Telephone Number	:	561-296-1188
Fax Number	:	561-969-6920

Provider Business Practice Location Address
First Line	:	6699 W BOYNTON BEACH BLVD STE B
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3527
Country	:	US
Telephone Number	:	561-296-1188
Fax Number	:	561-969-6920

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JEFFREY L KUGLER
Credential	:	M.D
Telephone Number	:	561-296-1188

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	04/23/2021

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