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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1942158738
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 STE 400
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-4512
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 LINTON BLVD STE 340
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6600
Country	:	US
Telephone Number	:	561-627-8500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM E CARLSON
Credential	:	MD
Telephone Number	:	772-288-2400

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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