NPIMap

Organization Active NPI

Metro Orthopedic Specialists PL

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1003847401
Registry record updated Jan 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0053893 Issued in FL
Legal business name
METRO ORTHOPEDIC SPECIALISTS PL
Practice address
3956 Town Center Blvd
PMB 462
Orlando, FL 32837-6103
Phone
(407) 297-0397
Fax
(407) 292-9217
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter Godleski
Title
Managing Member
Phone
(407) 297-0397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X ME0053893 FL Primary

Addresses

Primary practice location

3956 Town Center Blvd
PMB 462
Orlando, FL 32837-6103

Mailing address

3956 Town Center Blvd
PMB 462
Orlando, FL 32837-6103
Phone (407) 297-0397

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232755200000",
    "number": "1003847401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3956 TOWN CENTER BLVD",
            "address_2": "PMB 462",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376103",
            "telephone_number": "407-297-0397",
            "fax_number": "407-292-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3956 TOWN CENTER BLVD",
            "address_2": "PMB 462",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376103",
            "telephone_number": "407-297-0397",
            "fax_number": "407-292-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ORTHOPEDIC SPECIALISTS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-01-24",
        "status": "A",
        "authorized_official_last_name": "GODLESKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-297-0397"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0053893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.