Provider Demographics
NPI:1124701727
Name:HANDS-ON ORTHOPEDICS AND INJURY CENTER, LLC
Entity type:Organization
Organization Name:HANDS-ON ORTHOPEDICS AND INJURY CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-945-2663
Mailing Address - Street 1:1661 DAVENPORT DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4231
Mailing Address - Country:US
Mailing Address - Phone:813-945-2663
Mailing Address - Fax:727-645-0915
Practice Address - Street 1:1661 DAVENPORT DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4231
Practice Address - Country:US
Practice Address - Phone:813-945-2663
Practice Address - Fax:727-645-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty