Active NPI
Ortho Florida, LLC
- Sports Medicine (Orthopaedic Surgery) Physician
- Davie, FL
National Provider Identifier
1265039655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- ORTHO FLORIDA, LLC
- Practice address
- 11050 Griffin Rd Ste 104
Davie, FL 33328-3227 - Phone
- (954) 686-8850
- NPI assigned
- Oct 8, 2020
- Organization subpart
- Yes
- Parent organization
- ORTHO FLORIDA, LLC
NPPES NPI Registry
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) 215-2348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
11050 Griffin Rd Ste 104
Davie, FL 33328-3227
Mailing address
751 Park of Commerce Dr Ste 112
Boca Raton, FL 33487-3622
Phone (561) 215-2348
Other names 1
- South Florida Walk-in Orthopedics
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": "1602115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602115200000",
"number": "1265039655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 PARK OF COMMERCE DR STE 112",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873622",
"telephone_number": "561-215-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 GRIFFIN RD STE 104",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283227",
"telephone_number": "954-686-8850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO FLORIDA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHO FLORIDA, LLC",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A",
"authorized_official_last_name": "WEICHT",
"authorized_official_first_name": "ADRIANA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "561-215-2348"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "South Florida Walk-in Orthopedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.