MEDICARE: PALM BEACH ORTHOPAEDIC ASSOCIATES, 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 State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	FL
2	207T00000X	Neurological Surgery Physician	FL
3	207X00000X	Orthopaedic Surgery Physician	FL
4	207XS0117X	Orthopaedic Surgery of the Spine Physician	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0011R	OTHER	FL	BLUE CROSS

General Provider Information

NPI Number	:	1982768941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH ORTHOPAEDIC ASSOCIATES, L.L.C.

Provider Business Mailing Address
First Line	:	2580 METROCENTRE BLVD STE 1
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3100
Country	:	US
Telephone Number	:	561-684-2022
Fax Number	:	561-478-7921

Provider Business Practice Location Address
First Line	:	2580 METROCENTRE BLVD
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3100
Country	:	US
Telephone Number	:	561-684-2022
Fax Number	:	561-478-7921

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. RAFAEL FOSS
Credential	:	DC
Telephone Number	:	561-627-2821

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	10/15/2012

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Directions to “PALM BEACH ORTHOPAEDIC ASSOCIATES, L.L.C. ” Practice Location

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