Healthcare Provider Details
I. General information
NPI: 1407233661
Provider Name (Legal Business Name): ORTHOPAEDIC CENTER OF VERO BEACH P A
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2015
Last Update Date: 09/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 QUINCY AVE
FORT PIERCE FL
34947-4766
US
IV. Provider business mailing address
1285 36TH ST SUITE 100
VERO BEACH FL
32960-4885
US
V. Phone/Fax
- Phone: 772-465-3207
- Fax:
- Phone: 772-778-2009
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081H0002X |
| Taxonomy | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
STEINFELD
Title or Position: PRESIDENT
Credential: MD
Phone: 772-778-2009