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NPI Code Detail

MEDICARE: ORTHO FLORIDA, LLC

MEDICARE: ORTHO 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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1386065217
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHO FLORIDA, LLC
Provider Business Mailing Address
First Line : 660 GLADES RD
Second Line : SUITE 460
City : BOCA RATON
State : FL
Zip : 33431-6465
Country : US
Telephone Number : 561-300-1774
Fax Number :
Provider Business Practice Location Address
First Line : 6280 W SAMPLE RD
Second Line : SUITE 202
City : CORAL SPRINGS
State : FL
Zip : 33067-3173
Country : US
Telephone Number : 954-481-9942
Fax Number :
Authorized Official
Title or Position : CEO
Name : DAVID PALKOVICH
Credential :
Telephone Number : 941-730-4965
Provider Enumeration Date : 12/19/2013
Last Update Date : 12/19/2013

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Directions to “ORTHO FLORIDA, LLC ” Practice Location

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