NPI 1477832897

Orthosport

Organisation Exclusive Provider Organization West Palm Beach, FL

Practice location

Address: 8371 N Military Trl #106, West Palm Beach, FL 33410-6300
Phone: (561) 328-9298
Fax: (561) 328-9348

Authorised official

Name: Kerrie Brooks
Title: Co Owner
Phone: (561) 328-9298

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence PT19952 (FL)

Other Exclusive Provider Organization providers in Florida →

Registry record

NPI: 1477832897
Entity type: Organization
NPI issued: 16 Aug 2011
Record last updated: 30 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.