MEDICARE: HILL ORTHOPEDIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1016256	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578506358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILL ORTHOPEDIC CENTER

Provider Business Mailing Address
First Line	:	4125 HUNTERS PARK LN STE 117
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7615
Country	:	US
Telephone Number	:	407-447-7001
Fax Number	:	407-447-7006

Provider Business Practice Location Address
First Line	:	4125 HUNTERS PARK LN STE 117
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7615
Country	:	US
Telephone Number	:	407-447-7001
Fax Number	:	407-447-7006

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	PATRICIA PAYTON
Credential	:
Telephone Number	:	407-447-7001

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	04/09/2020

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Directions to “HILL ORTHOPEDIC CENTER ” Practice Location

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