Healthcare Provider Details

I. General information

NPI: 1558317545
Provider Name (Legal Business Name): TOTAL ORTHOPAEDIC CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 W OAKLAND PARK BLVD SUITE 201
LAUDERDALE LAKES FL
33313-7260
US

IV. Provider business mailing address

4850 W OAKLAND PARK BLVD SUITE 201
LAUDERDALE LAKES FL
33313-7260
US

V. Phone/Fax

Practice location:
  • Phone: 954-735-3535
  • Fax: 954-484-7000
Mailing address:
  • Phone: 954-735-3535
  • Fax: 954-484-7000

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 Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH BILODEAU
Title or Position: CEO
Credential:
Phone: 954-735-3535