MEDICARE: ORTHOPEDIC SPECIALTIES 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	ME116967	FL

General Provider Information

NPI Number	:	1083163315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC SPECIALTIES LLC

Provider Business Mailing Address
First Line	:	2800 BISCAYNE BLVD STE 1010
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-4559
Country	:	US
Telephone Number	:	305-467-5678
Fax Number	:	305-821-6782

Provider Business Practice Location Address
First Line	:	4770 BISCAYNE BLVD STE 1100
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-3247
Country	:	US
Telephone Number	:	305-467-5678
Fax Number	:	305-821-6782

Authorized Official
Title or Position	:	MANAGER
Name	:	MELISSA CABRERA
Credential	:
Telephone Number	:	305-467-5678

Provider Enumeration Date	:	09/28/2016
Last Update Date	:	05/24/2023

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