Healthcare Provider Details

I. General information

NPI: 1942752662
Provider Name (Legal Business Name): ORTHOPEDIC CENTER OF PALM BEACH COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2016
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10275 HAGEN RANCH ROAD SUITE 200
BOYNTON BEACH FL
33437
US

IV. Provider business mailing address

180 JFK DR SUITE 110
ATLANTIS FL
33462-6641
US

V. Phone/Fax

Practice location:
  • Phone: 561-967-6500
  • Fax: 561-423-4687
Mailing address:
  • Phone: 561-967-6500
  • Fax: 561-423-4687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTINA MARTINEZ
Title or Position: OPERATIONS
Credential:
Phone: 561-967-6500