Organization Name: | ORTHOPEDIC CENTER OF PALM BEACH COUNTY INC |
NPI Number: | 1114079738 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN E HORNBERGER (CEO) |
Mailing Address: | 180 Jfk Dr Ste 100 Atlantis |
State: | FL US |
Postal Code: | 334626641 |
Phone Number: | 5619676500 |
Fax Number: | 5614720467 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 03/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |