ORTHO FLORIDA, LLC (NPI# 1386065217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386065217 |
| Entity Type | Organization |
| Organization Name | ORTHO FLORIDA, LLC |
| Other Organization Name | SPORTS ORTHO, LLC |
| Practice Address |
6280 W Sample Rd Suite 202 Coral Springs FL 33067-3173 |
| Mailing Address |
660 Glades Rd Suite 460 Boca Raton FL 33431-6465 |
| Practice Telephone | 9544819942 |
| Mailing Telephone | 5613001774 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | DAVID PALKOVICH (CEO) |
| Authorized Official Telephone | 9417304965 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHO FLORIDA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sports Ortho, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1154803963 | Ortho Florida, LLC | Orthopaedic Surgery | 9400 University Pkwy Ste 101b, Pensacola, FL 32514-5485 | 2018-08-29 |
| 1235619727 | Ortho Florida, LLC | Orthopaedic Surgery | 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 | 2018-08-15 |
| 1891289377 | Ortho Florida, LLC | Orthopaedic Surgery | 5130 Linton Blvd Ste B2, Delray Beach, FL 33484-6595 | 2018-06-19 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| Street Address |
6280 W SAMPLE RD SUITE 202 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33067-3173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467424382 | Shailesh K Gupta | Ophthalmology | 6280 W Sample Rd, Ste 202, Coral Springs, FL 33067-3173 | 2006-02-03 |
| 1093111890 | Sports and Orthopedic Center Pa | Orthopaedic Surgery | 6280 W Sample Rd, Suite 203, Coral Springs, FL 33067-3173 | 2014-11-06 |
| 1801004932 | Drew P. Bawcombe | Ophthalmology | 6280 W Sample Rd, 202, Coral Springs, FL 33067-3173 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487822 | Amy Caplan Demner | Counselor | 5571 University Drive, Suite 101, Coral Springs, FL 33067 | 2019-10-06 |
| 1548825508 | Stacie Boyar | Counselor | 5941 N University Drive, Coral Springs, FL 33067 | 2019-05-06 |
| 1356818587 | National Vision Inc | Technician/Technologist | 6357 West Sample Road, Coral Springs, FL 33067 | 2018-10-25 |
| 1316423544 | R & S Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 7551 Wiles Road, 103, Coral Springs, FL 33067 | 2018-07-11 |
| 1740787068 | Cleveland Clinic Florida (a Nonprofit Corporation) | Clinic/Center | 5701 North University Drive, Coral Springs, FL 33067 | 2018-04-12 |
| 1922500966 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5280 West Sample Road, Suite 203, Coral Springs, FL 33067 | 2018-03-06 |
| 1518481829 | Alissa Diaz | Pharmacist | 8360 Nw 51st Ct, Coral Springs, FL 33067 | 2017-07-28 |
| 1396267100 | Coral Springs Modern Dentistry, Pa | Dentist | 5810 Wiles Rd, Coral Springs, FL 33067 | 2017-07-13 |
| 1528595766 | Farahnaz Abdoly | Optometrist | 6357 W Sample Rd, Coral Springs, FL 33067 | 2017-05-18 |
| 1164894903 | Mar Christian Amoroso Panambo | Physical Therapist | 5900 West Sample Rd, 304, Coral Springs, FL 33067 | 2015-10-20 |
| Find all providers in zip 33067 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386773331 | Steven Russell Pearlstein | Orthopaedic Surgery | 9110 Nw 41st Mnr, Coral Springs, FL 33065-1758 | 2007-03-05 |
| 1326003443 | Aileen Marie Danko | Orthopaedic Surgery | 8130 Royal Palm Blvd, Suite 105, Coral Springs, FL 33065-5703 | 2006-04-20 |
| 1952364473 | Arthur L Germain | Orthopaedic Surgery | 1710 N University Drive, Ste 101, Coral Springs, FL 33071-6090 | 2006-04-07 |
| 1033192307 | Keith Alan Kurland | Orthopaedic Surgery | 10139 Nw 31st St, Suite 202, Coral Springs, FL 33065-3908 | 2005-11-21 |
| 1902895790 | Philip Fred Averbuch | Orthopaedic Surgery | 9750 Nw 33rd St Ste 116, Coral Springs, FL 33065-4000 | 2005-10-14 |
| 1336145234 | Francis K Moll IIi | Orthopaedic Surgery | 6280 W Sample Rd Ste 203, Coral Springs, FL 33067-3173 | 2005-06-24 |
| 1093111890 | Sports and Orthopedic Center Pa | Orthopaedic Surgery | 6280 W Sample Rd, Suite 203, Coral Springs, FL 33067-3173 | 2014-11-06 |
| 1720321524 | Niall A Smyth | Orthopaedic Surgery | 5701 N University Drive, Cleveland Clinic Florida, Coral Springs, FL 33067 | 2013-03-29 |
| 1790049013 | Anup Krishna Gangavalli | Orthopaedic Surgery | 983 N University Dr, Coral Springs, FL 33071 | 2012-07-02 |
| 1710266820 | Aileen Danko Md LLC | Orthopaedic Surgery | 8130 Royal Palm Blvd, Suite 105, Coral Springs, FL 33065-5703 | 2011-08-06 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33067 |
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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.