Organization Active NPI

Metro Orthopedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1316577638
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
METRO ORTHOPEDIC SPECIALISTS, LLC
Practice address
7300 Sand Lake CMN Ste 312
Orlando, FL 32819-8050
Phone
(850) 517-7330
Fax
(844) 511-6930
NPI assigned
Jan 26, 2020
Last updated
Jan 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Authorized official

Name
Dr. Peter J Godleski, MDNPI 1194750893
Title
Owner/Employee
Phone
(850) 517-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

7300 Sand Lake CMN Ste 312
Orlando, FL 32819-8050

Mailing address

859 Coldwater Creek Cir
Niceville, FL 32578-1653
Phone (850) 517-7330

National Provider Directory

National Provider Directory

Locations

7300 Sandlake Commons Blvd
Ste 312
Orlando, FL 32819
Phone (321) 222-4152

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1316577638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 COLDWATER CREEK CIR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781653",
            "telephone_number": "850-517-7330",
            "fax_number": "844-511-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SAND LAKE CMN STE 312",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198050",
            "telephone_number": "850-517-7330",
            "fax_number": "844-511-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ORTHOPEDIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "GODLESKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "850-517-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "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 26, 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.