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NPI Code Detail

MEDICARE: SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA

MEDICARE: SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1700201100
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA
Provider Business Mailing Address
First Line : 1050 SE MONTEREY RD
Second Line : SUITE 400
City : STUART
State : FL
Zip : 34994-4512
Country : US
Telephone Number : 772-288-2400
Fax Number : 772-419-0143
Provider Business Practice Location Address
First Line : 9401 SW DISCOVERY WAY STE 201
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34987-2381
Country : US
Telephone Number : 772-288-2400
Fax Number :
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. WILLIAM E CARLSON
Credential : MD
Telephone Number : 772-288-2400
Provider Enumeration Date : 02/22/2014
Last Update Date : 01/15/2019

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Directions to “SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA ” Practice Location

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