MEDICARE: FLORIDA CENTER FOR ORTHOPAEDIC INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207XS0117X	Orthopaedic Surgery of the Spine Physician
2	3336C0002X	Clinic Pharmacy
3	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	665121	OTHER	FL	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740375765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CENTER FOR ORTHOPAEDIC INC

Provider Business Mailing Address
First Line	:	7575 DR PHILLIPS BLVD STE 370
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7220
Country	:	US
Telephone Number	:	407-292-2156
Fax Number	:	407-241-2868

Provider Business Practice Location Address
First Line	:	7575 DR PHILLIPS BLVD STE 370
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7220
Country	:	US
Telephone Number	:	407-292-2156
Fax Number	:	407-241-2868

Authorized Official
Title or Position	:	ADMINISTRATOR/MANAGER
Name	:	ADRIANA SMITH
Credential	:
Telephone Number	:	407-292-2156

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	01/25/2025

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