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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 PhysicianMDR-4545HI

General Provider Information

NPI Number : 1649516717
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 : 561-300-1779
Fax Number :
Provider Business Practice Location Address
First Line : 7150 W 20TH AVE
Second Line : SUITE 209
City : HIALEAH
State : FL
Zip : 33016-5529
Country : US
Telephone Number : 305-467-5678
Fax Number : 305-503-7006
Authorized Official
Title or Position : CEO
Name : JASON TOCCI
Credential :
Telephone Number : 954-410-5194
Provider Enumeration Date : 12/18/2012
Last Update Date : 12/18/2012

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Directions to “ORTHO FLORIDA LLC ” Practice Location

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