Healthcare Provider Details

I. General information

NPI: 1467562793
Provider Name (Legal Business Name): ASSOCIATES IN ORTHOPEDICS P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E OLYMPIA AVE SUITE 211
PUNTA GORDA FL
33950-3833
US

IV. Provider business mailing address

315 E OLYMPIA AVE SUITE 211
PUNTA GORDA FL
33950-3833
US

V. Phone/Fax

Practice location:
  • Phone: 941-637-2663
  • Fax: 941-637-6872
Mailing address:
  • Phone: 941-637-2663
  • Fax: 941-637-6872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN BAKER
Title or Position: PRESIDENT
Credential: MD
Phone: 941-637-2663