Healthcare Provider Details

I. General information

NPI: 1790177921
Provider Name (Legal Business Name): ORTHOPAEDIC CARE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7560 RED BUG LAKE RD STE 2014
OVIEDO FL
32765-6562
US

IV. Provider business mailing address

PO BOX 1963
WINTER PARK FL
32790-1963
US

V. Phone/Fax

Practice location:
  • Phone: 407-392-1531
  • Fax: 407-392-1539
Mailing address:
  • Phone: 407-392-1531
  • Fax: 407-392-1539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberME0083338
License Number StateFL

VIII. Authorized Official

Name: DR. DAVID J COWIN
Title or Position: OWNER/SURGEON
Credential: DR
Phone: 407-392-1531