Provider Demographics
NPI:1932441490
Name:APEX ORTHOPEDIC SPECIALISTS
Entity Type:Organization
Organization Name:APEX ORTHOPEDIC SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TREGILLUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-798-2910
Mailing Address - Street 1:415 COWART AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2649
Mailing Address - Country:US
Mailing Address - Phone:727-798-2910
Mailing Address - Fax:
Practice Address - Street 1:415 COWART AVE
Practice Address - Street 2:SUITE B
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2649
Practice Address - Country:US
Practice Address - Phone:727-798-2910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies