Active NPI
Tallahassee Orthopedic Clinic III PL
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
National Provider Identifier
1104671932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TALLAHASSEE ORTHOPEDIC CLINIC III PL
- Practice address
- 909 N Dale Mabry Hwy
Tampa, FL 33609-1251 - Phone
- (813) 978-9700
- NPI assigned
- Apr 23, 2024
- Organization subpart
- Yes
- Parent organization
- TALLAHASSEE ORTHOPEDIC CLINIC III PL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori J Carter
- Title
- Business Office Director
- Phone
- (850) 219-1925
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
909 N Dale Mabry Hwy
Tampa, FL 33609-1251
Mailing address
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
Other names 1
- Florida Orthopaedic Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241205001174 | FL | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 4284532755 | Practice locations: Tampa, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Tallahassee Orthopedic
- Part of
- Tallahassee Orthopedic
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Durable Medical Equipment & Medical Supplies
- Chipley, FL
- NPI 1083390470
-
- Durable Medical Equipment & Medical Supplies
- Chipley, FL
- NPI 1093907495
-
- Durable Medical Equipment & Medical Supplies
- Perry, FL
- NPI 1174715502
-
- Physical Therapy Clinic/Center
- Panama City, FL
- NPI 1235912692
-
- Durable Medical Equipment & Medical Supplies
- Lakeland, FL
- NPI 1386499119
-
- Durable Medical Equipment & Medical Supplies
- South Pasadena, FL
- NPI 1447005269
-
- Medical Specialty Clinic/Center
- Panama City, FL
- NPI 1043074644
-
- Durable Medical Equipment & Medical Supplies
- Gainesville, FL
- NPI 1083462188
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1083478689
-
- Durable Medical Equipment & Medical Supplies
- Deland, FL
- NPI 1134081771
-
- Durable Medical Equipment & Medical Supplies
- Zephyrhills, FL
- NPI 1235087925
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tampa, FL
- NPI 1245065341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1104671932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "850-877-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091251",
"telephone_number": "813-978-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
"authorized_official_telephone_number": "850-219-1925"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Orthopaedic Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.