MEDICARE: FLORIDA ORTHOCARE NETWORK, 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	207XS0117X	Orthopaedic Surgery of the Spine Physician
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1699131995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA ORTHOCARE NETWORK, LLC

Provider Business Mailing Address
First Line	:	11211 PROSPERITY FARMS RD STE B104
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3453
Country	:	US
Telephone Number	:	561-537-4526
Fax Number	:

Provider Business Practice Location Address
First Line	:	4723 W ATLANTIC AVE STE 19
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3865
Country	:	US
Telephone Number	:	561-588-9912
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN PAPA
Credential	:	DC
Telephone Number	:	561-801-2535

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	11/30/2018

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Directions to “FLORIDA ORTHOCARE NETWORK, LLC ” Practice Location

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