Ortho Florida, LLC
Orthopaedic Surgery, Sports Medicine in Davie, FL. Organization (NPI-2).
NPI number1265039655
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1265039655
- Entity type
- Organization (NPI-2)
- Legal business name
- Ortho Florida, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 8, 2020
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | Yes |
Other names
- South Florida Walk-In Orthopedics (Doing Business As)
Practice location
11050 Griffin Rd Ste 104Davie, FL 33328-3227
Phone 954-686-8850
Mailing address
751 Park Of Commerce Dr Ste 112Boca Raton, FL 33487-3622
Phone 561-215-2348
Authorized official
Adriana Weicht
Coo
5612152348
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