Sports and Orthopedic Center PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SPORTS AND ORTHOPEDIC CENTER PA

Practice address

3428 N Roosevelt Blvd
Key West, FL 33040-4224

Phone

(561) 314-7200

Fax

(561) 314-7201

NPI assigned

Nov 25, 2019

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manish K Gupta, MDNPI 1770687386

Title

Owner

Phone

(954) 481-9942

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manish K Gupta, MD

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
  • NPI 1770687386
  Authorized official Same address or phone

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1093351066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W SAMPLE ROAD",
            "address_2": "SUITE 322",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641342",
            "telephone_number": "954-481-9942",
            "fax_number": "954-481-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 N ROOSEVELT BLVD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404224",
            "telephone_number": "561-314-7200",
            "fax_number": "561-314-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND ORTHOPEDIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-481-9942",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Is Key LLC
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• Pedro Spencer
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• Spinal Mechanics Centers
• Anne Sprain, PHARMD
• Leanne St.Ledger, PHARM.D.
• Antonina Stankova
• Stanley Sack MD PA
• Tammy D. Staples, PHYSICAL THERAPIST

• Orthopaedic Surgery Physician in Key West, FL
• Providers in Key West, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.