Healthcare Provider Details

I. General information

NPI: 1659453835
Provider Name (Legal Business Name): ORTHOPEDIC CENTER OF PALM BEACH COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 CONGRESS AVE
LAKE WORTH FL
33461-4746
US

IV. Provider business mailing address

4801 CONGRESS AVE
LAKE WORTH FL
33461-4746
US

V. Phone/Fax

Practice location:
  • Phone: 561-967-6500
  • Fax: 561-433-4175
Mailing address:
  • Phone: 561-967-6500
  • Fax: 561-433-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

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