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ORTHOPEDIC SPECIALTY CARE CENTER PA NPI 1740499045


NPI Information

NPI: 1740499045
Provider Name: ORTHOPEDIC SPECIALTY CARE CENTER PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 390-2174
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ORTHOPEDIC SPECIALTY CARE CENTER PA is a specialist in Bonita Springs, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ORTHOPEDIC SPECIALTY CARE CENTER PA NPI is 1740499045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL
ZIP 34134-012
Phone: (239) 390-2174

The provider's authorized official is Aldo R Beretta .
The authorized official title is Owner and has the following contact phone number (239) 390-2174.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 11/18/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME78272FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K5695MEDICARE UPINFLORIDA

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: 11/14/2023

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