Provider Demographics
NPI:1598577793
Name:CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Entity type:Organization
Organization Name:CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ITTIG
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, FACMPE
Authorized Official - Phone:727-568-6840
Mailing Address - Street 1:625 6TH AVE S STE 450
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4629
Mailing Address - Country:US
Mailing Address - Phone:727-568-6840
Mailing Address - Fax:
Practice Address - Street 1:8318 MARKET ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5137
Practice Address - Country:US
Practice Address - Phone:727-898-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty