MEDICARE: ORTHOPAEDIC INSTITUTE OF SOUTH FLORIDA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1073466744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC INSTITUTE OF SOUTH FLORIDA, LLC

Provider Business Mailing Address
First Line	:	8900 SW 117TH AVE STE B104
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2155
Country	:	US
Telephone Number	:	305-595-1317
Fax Number	:

Provider Business Practice Location Address
First Line	:	4445 W 16TH AVE STE 604
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2961
Country	:	US
Telephone Number	:	305-595-1317
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER/CREDENTIALING SPEC.
Name	:	MICHELLE A STRATTON
Credential	:	CPC
Telephone Number	:	305-335-4135

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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