Ivy Spine & Orthopedics, LLC
NPI #1215534011 in Tallahassee, Florida
Provider Information
- NPI Number
- 1215534011
- Entity Type
- Organization
- Organization Name
- Ivy Spine & Orthopedics, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IVY SPINE & ORTHOPEDICS, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Oct 5, 2020
- Last Updated
- Sep 7, 2021
Practice Location
- Address
- 2532 CAPITAL MEDICAL BLVD
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32308-4424
- Phone
- (850) 628-7679
Authorized Official
- Name
- JENNIFER GATES
- Title
- PRACTICE MANAGER
- Phone
- (850) 628-7679
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
Additional Practice Locations
742 Harrison Ave
Panama City, FL, 32401-2524
(850) 628-7679
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