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ORTHOPEDIC CENTER OF FLORIDA INC NPI 1912932047


NPI Information

NPI: 1912932047
Provider Name: ORTHOPEDIC CENTER OF FLORIDA, INC

Former Legal Business Name: SPORTS MEDICINE AND JOINT REPLACEMENT SPECIALIST

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 10D1093251

Address:
12670 CREEKSIDE LANE
SUITE 202
FORT MYERS, FL
ZIP 33919
Phone: (239) 482-2663
Get Directions

ORTHOPEDIC CENTER OF FLORIDA, INC is an orthopaedic surgery in Fort Myers, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ORTHOPEDIC CENTER OF FLORIDA, INC NPI is 1912932047. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sports Medicine And Joint Replacement Specialist.

The provider's business location address is:

12670 CREEKSIDE LANE
SUITE 202
FORT MYERS, FL
ZIP 33919-759
Phone: (239) 482-2663
Fax: (239) 482-7585

The provider's authorized official is Thomas L Dahl .
The authorized official title is Chief Executive Officer and has the following contact phone number (239) 482-2663.

The CLIA number assigned to this NPI record is 10D1093251 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/23/2014.


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
1207X00000XOrthopaedic 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1265840200MEDICAIDFLORIDA
20670070001OTHERFLORIDAMEDICARE DME
300231OTHERFLORIDAGROUP BCBS OF FLORIDA
40670070001MEDICARE NSCFLORIDA
5K0865OTHERFLORIDAMEDICARE GROUP
6=========OTHERFLORIDATAX IDENTIFICATION
71912932047MEDICARE PINFLORIDA

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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