Elite Orthopedic Specialists, LLC
Clinic/Center, Ambulatory Surgical in Tampa, FL. Organization (NPI-2).
NPI number1376974097
StatusActive
Last updated in NPPESMar 17, 2015
Details
- NPI
- 1376974097
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Orthopedic Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2013
- Last updated
- Mar 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
6918 Gunn HwySuite E
Tampa, FL 33625-3853
Phone 815-852-2500 · Fax 813-852-2602
Mailing address
6918 Gunn HwySuite E
Tampa, FL 33625-3853
Phone 815-852-2500 · Fax 813-852-2602
Authorized official
George Dean Vanderhoof
Chief Executive Officer
8135050790
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