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NPI Code Detail

MEDICARE: SPECIALIZED ORTHOPAEDIC SERVICES OF FLORIDA, L.L.C.

MEDICARE: SPECIALIZED ORTHOPAEDIC SERVICES OF FLORIDA, L.L.C.
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 Supplies1312879FL

General Provider Information

NPI Number : 1801853528
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALIZED ORTHOPAEDIC SERVICES OF FLORIDA, L.L.C.
Provider Business Mailing Address
First Line : 1900 S HARBOR CITY BLVD
Second Line : SUITE 329
City : MELBOURNE
State : FL
Zip : 32901-4749
Country : US
Telephone Number : 321-626-4636
Fax Number : 321-308-1473
Provider Business Practice Location Address
First Line : 1900 S HARBOR CITY BLVD
Second Line : SUITE 329
City : MELBOURNE
State : FL
Zip : 32901-4749
Country : US
Telephone Number : 321-626-4636
Fax Number : 321-308-1473
Authorized Official
Title or Position : OWNER
Name : MR. JAMES M. LADD
Credential :
Telephone Number : 321-626-4636
Provider Enumeration Date : 04/27/2006
Last Update Date : 01/14/2008

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Directions to “SPECIALIZED ORTHOPAEDIC SERVICES OF FLORIDA, L.L.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.