Healthcare Provider Details
I. General information
NPI: 1649191271
Provider Name (Legal Business Name): FLORIDA ORTHOCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8564 E COUNTY ROAD 466 STE 303
THE VILLAGES FL
32162-3021
US
IV. Provider business mailing address
6415 LAKE WORTH RD STE 302
GREENACRES FL
33463-2906
US
V. Phone/Fax
- Phone: 863-216-6305
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
PAPA
Title or Position: OWNER
Credential:
Phone: 561-537-4526