MEDICARE: ORTHOPAEDIC ASSOCIATES USA, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207XS0106X	Orthopaedic Hand Surgery Physician
2	207XS0117X	Orthopaedic Surgery of the Spine Physician
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
4	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
5	213ES0103X	Foot & Ankle Surgery Podiatrist
6	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1720378144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC ASSOCIATES USA, PA

Provider Business Mailing Address
First Line	:	350 N PINE ISLAND RD
Second Line	:	SUITE 200
City	:	PLANTATION
State	:	FL
Zip	:	33324-1849
Country	:	US
Telephone Number	:	954-476-8800
Fax Number	:	954-476-1362

Provider Business Practice Location Address
First Line	:	4765 SW 148TH AVENUE
Second Line	:	SUITE 401
City	:	DAVIE
State	:	FL
Zip	:	33330-2128
Country	:	US
Telephone Number	:	954-707-5070
Fax Number	:	954-734-1353

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. ROBERT W BAYLIS
Credential	:	M.D.
Telephone Number	:	954-476-8800

Provider Enumeration Date	:	04/19/2011
Last Update Date	:	04/19/2011

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