FLORIDA ORTHOPAEDIC TRAUMA SPECIALISTS, PLLC (NPI# 1114318326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114318326 |
Entity Type | Organization |
Organization Name | FLORIDA ORTHOPAEDIC TRAUMA SPECIALISTS, PLLC |
Practice Address |
7544 Jacque Rd Hudson FL 34667-7162 |
Practice Telephone | 7278685222 |
Mailing Telephone | 7278685222 |
Enumeration Date | 2015-02-10 |
Last Update Date | 2015-02-10 |
Authorized Official Name | CRAIG BENNETT (MGR) |
Authorized Official Telephone | 7278685222 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians |
Street Address |
7544 JACQUE RD |
City | HUDSON |
State | FL |
Zip Code | 34667-7162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528063914 | Adam Paul Murchie | Nurse Practitioner | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2005-06-14 |
1093282600 | Nicole Lourine Baldwin | Nurse Practitioner | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2018-11-01 |
1215448634 | Christopher Lawrence Scirerisichella | Physical Therapist | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2017-10-12 |
1770942369 | Heather Christen Hart | Physician Assistant | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2016-02-11 |
1578936092 | Kelly Francis | Physician Assistant | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2015-11-05 |
1831587849 | Kevin Bass | Physician Assistant | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2014-12-26 |
1205231388 | April D. Litwiller | Nurse Practitioner | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2014-10-30 |
1184025330 | Mary Mathew | Physical Therapist | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2014-09-08 |
1841629912 | Matthew Mills | Physician Assistant | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2013-11-08 |
1023446838 | The Center for Bone and Joint Disease | Physician Assistant | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2013-10-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
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Taxonomy Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275183972 | Medical Solutions | Orthopaedic Surgery | 353 Broyles Dr Se, Palm Bay, FL 32909-2355 | 2019-09-13 |
1235619727 | Ortho Florida, LLC | Orthopaedic Surgery | 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 | 2018-08-15 |
1467828228 | Transitional Care Medical Associates Inc. | Orthopaedic Surgery | 12989 Southern Blvd, Mod 3, Ste 202, Loxahatchee, FL 33470-9291 | 2015-08-17 |
1316243538 | Kevin Patrick O'halloran | Orthopaedic Surgery | 2943 Highway 77, Panama City, FL 32405-4411 | 2011-02-04 |
1396055299 | Raymond A Long | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2010-10-14 |
1396074316 | Diplomat Orthopaedic Group, P.a. | Orthopaedic Surgery | 10600 Griffin Road, Suite 104, Cooper City, FL 33328-3208 | 2009-12-22 |
1558525733 | John Thomas Riehl | Orthopaedic Surgery | 3298 Summit Blvd Ste 4, Pensacola, FL 32503-4350 | 2008-07-16 |
1386846871 | Lisa R Blackrick | Orthopaedic Surgery | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2007-06-05 |
1275734766 | Daniel Bayon Chan | Orthopaedic Surgery | 1150 N 35th Ave Ste 130, Hollywood, FL 33021 | 2007-05-30 |
1093927451 | David Lee Smith Jr. | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-05-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.