Organization Active NPI

Royal Palm Orthopedic & Sports Medicine Institute LLC

  • Orthopaedic Surgery Physician
  • Lakeland, FL
National Provider Identifier
1366927170
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ROYAL PALM ORTHOPEDIC & SPORTS MEDICINE INSTITUTE LLC
Practice address
1526 Commercial Park Dr Ste 5
Lakeland, FL 33801-6568
Phone
(863) 324-6100
Fax
(863) 679-9182
NPI assigned
Sep 27, 2018
Organization subpart
Yes
Parent organization
ROYAL PALM ORTHOPEDIC & SPORTS MEDICINE INSTITUTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
David U. Arango, MD
Title
Owner
Phone
(863) 324-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1526 Commercial Park Dr Ste 5
Lakeland, FL 33801-6568

Mailing address

23781 US Highway 27 Ste 122
Lake Wales, FL 33859-7802

Other identifiers 1

IdentifierTypeStateIssuer
280899400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Royal Palm Ortho Sports5 organizations share this tax ID, including this one
Part of
Royal Palm Ortho Sports

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1366927170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23781 US HIGHWAY 27 STE 122",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 COMMERCIAL PARK DR STE 5",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016568",
            "telephone_number": "863-324-6100",
            "fax_number": "863-679-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM ORTHOPEDIC & SPORTS MEDICINE INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROYAL PALM ORTHOPEDIC & SPORTS MEDICINE INSTITUTE LLC",
        "enumeration_date": "2018-09-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "ARANGO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-324-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280899400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.