MEDICARE: PROGRESSIVE ORTHOPAEDIC

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

General Provider Information

NPI Number	:	1902853039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVE ORTHOPAEDIC

Provider Business Mailing Address
First Line	:	PO BOX 14657
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33766-4657
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 FRIST BLVD
Second Line	:	SUITE 7
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4839
Country	:	US
Telephone Number	:	772-489-9519
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT KATZMAN
Credential	:	M.D.
Telephone Number	:	772-489-9519

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	08/22/2020

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Directions to “PROGRESSIVE ORTHOPAEDIC ” Practice Location

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