ATLANTIS ORTHOPAEDICS P.A. NPI 1902862808

NPI Information

ATLANTIS ORTHOPAEDICS, P.A. is a specialist in Atlantis, 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. ATLANTIS ORTHOPAEDICS, P.A. NPI is 1902862808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 JFK DR
SUITE 201
ATLANTIS, FL
ZIP 33462-141
Phone: (561) 967-4400

The provider's authorized official is Jeffrey S Penner .
The authorized official title is President and has the following contact phone number (561) 967-4400.

The CLIA number assigned to this NPI record is 10D2102528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 2/25/2013.

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:

Other Identifiers

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

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