Organization Active NPI

Ortho Florida, LLC

  • Orthopaedic Trauma Physician
  • Pensacola, FL
National Provider Identifier
1235619727
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
Legal business name
ORTHO FLORIDA, LLC
Doing business as
Comprehensive Orthopaedics of the Gulf Coast
Practice address
4900 Bayou Blvd Ste 107
Pensacola, FL 32503-2543
Phone
(850) 492-7775
NPI assigned
Aug 15, 2018
Organization subpart
Yes
Parent organization
ORTHO FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Adriana Weicht
Title
Coo
Phone
(561) 300-1792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0801X Primary

Addresses

Primary practice location

4900 Bayou Blvd Ste 107
Pensacola, FL 32503-2543

Mailing address

PO Box 978766
Dallas, TX 75397-8766
Phone (561) 300-1792

Other names 1

  • Comprehensive Orthopaedics of the Gulf Coast Doing business as

National Provider Directory

National Provider Directory
Part of
Ortho Florida LLC

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1235619727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 978766",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753978766",
            "telephone_number": "561-300-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BAYOU BLVD STE 107",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032543",
            "telephone_number": "850-492-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
        "enumeration_date": "2018-08-15",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "WEICHT",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-300-1792"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Orthopaedics of the Gulf Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.