Provider Demographics
NPI:1932915360
Name:OVATION HAND INSTITUTE - FL P.A.
Entity type:Organization
Organization Name:OVATION HAND INSTITUTE - FL P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:O'DONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:844-432-1600
Mailing Address - Street 1:2593 DEVELOPMENT DR STE 270
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-5999
Mailing Address - Country:US
Mailing Address - Phone:844-432-1600
Mailing Address - Fax:262-302-4075
Practice Address - Street 1:6821 PALISADES PARK CT STE 8
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-7131
Practice Address - Country:US
Practice Address - Phone:844-432-1600
Practice Address - Fax:262-302-4075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty