Healthcare Provider Details

I. General information

NPI: 1639410160
Provider Name (Legal Business Name): ORTHOPEDIC CENTER OF PALM BEACH COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S STATE ROAD 7 STE 200
WELLINGTON FL
33414-6212
US

IV. Provider business mailing address

180 JFK DR STE 100
ATLANTIS FL
33462-6641
US

V. Phone/Fax

Practice location:
  • Phone: 561-967-6500
  • Fax: 561-433-4175
Mailing address:
  • Phone: 561-967-6500
  • Fax: 561-433-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA MARTINEZ
Title or Position: OPERATIONS
Credential:
Phone: 561-967-6500