Provider Demographics
NPI:1336519479
Name:CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.
Entity Type:Organization
Organization Name:CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTIJO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-798-6600
Mailing Address - Street 1:10131 FOREST HILL BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6109
Mailing Address - Country:US
Mailing Address - Phone:561-798-6600
Mailing Address - Fax:
Practice Address - Street 1:1100 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-4910
Practice Address - Country:US
Practice Address - Phone:561-798-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-01
Last Update Date:2023-06-19
Deactivation Date:2018-07-25
Deactivation Code:
Reactivation Date:2018-08-17
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty