TRI-COUNTY ORTHOPAEDIC CENTER PA NPI 1558629527

NPI Information

  • NPI: 1558629527
  • Provider Name: TRI-COUNTY ORTHOPAEDIC CENTER, PA
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Organization
  • Address: 765 HWY 466
    LADY LAKE, FL
    ZIP 32159
  • Phone: (352) 753-9105

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NPI Details

TRI-COUNTY ORTHOPAEDIC CENTER, PA is an adult reconstructive orthopaedic surgery orthopaedic surgery in Lady Lake, FL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. TRI-COUNTY ORTHOPAEDIC CENTER, PA NPI is 1558629527. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

765 HWY 466
LADY LAKE, FL
ZIP 32159-340
Phone: (352) 753-9105
Fax: (352) 753-5280

The provider's authorized official is Jeffrey Mandume Kerina .
The authorized official title is President and has the following contact phone number (352) 326-8115.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 10/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K2614MEDICARE PINFLORIDA
26683220001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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