Healthcare Provider Details

I. General information

NPI: 1780646950
Provider Name (Legal Business Name): ORTHOPAEDIC CARE SPECIALIST PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 US HIGHWAY 1
NORTH PALM BEACH FL
33408-4513
US

IV. Provider business mailing address

733 US HIGHWAY 1
NORTH PALM BEACH FL
33408-4513
US

V. Phone/Fax

Practice location:
  • Phone: 561-840-1090
  • Fax:
Mailing address:
  • Phone: 561-840-1090
  • Fax: 561-840-0791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. LUO-ANN ABEL
Title or Position: OFFICE MANAGER
Credential:
Phone: 561-840-1090