MEDICARE: ORTHOPAEDIC SURGERY ASSOCIATES PA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104865088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC SURGERY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	2828 S SEACREST BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7944
Country	:	US
Telephone Number	:	561-395-2117
Fax Number	:	561-742-3583

Provider Business Practice Location Address
First Line	:	2828 S SEACREST BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7944
Country	:	US
Telephone Number	:	561-395-2117
Fax Number	:	561-742-3583

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. BRANDON J LUSKIN
Credential	:	MD
Telephone Number	:	561-395-2117

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	09/20/2016

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Directions to “ORTHOPAEDIC SURGERY ASSOCIATES PA ” Practice Location

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