Healthcare Provider Details

I. General information

NPI: 1770410433
Provider Name (Legal Business Name): ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 HOPE CENTER LOOP
FORT MYERS FL
33912-4707
US

IV. Provider business mailing address

14601 HOPE CENTER LOOP
FORT MYERS FL
33912-4707
US

V. Phone/Fax

Practice location:
  • Phone: 239-461-3691
  • Fax: 239-334-7070
Mailing address:
  • Phone: 239-334-7000
  • Fax: 239-334-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLEN C TAFEL
Title or Position: OWNER
Credential:
Phone: 239-334-7000