Active NPI
Royal Palm Orthopedic & Sports Medicine Institute LLC
- Orthopaedic Surgery Physician
- Lakeland, FL
National Provider Identifier
1366927170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280899400 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Royal Palm Ortho Sports
- 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.
-
- Orthopaedic Surgery Physician
- Sebring, FL
- NPI 1295210003
-
- Orthopaedic Surgery Physician
- Winter Haven, FL
- NPI 1538644349
-
- Orthopaedic Surgery Physician
- Tampa, FL
- NPI 1205537099
-
- Physical Medicine & Rehabilitation Physician
- Lake Wales, FL
- NPI 1396625455
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.
-
- Orthopaedic Surgery Physician
- Lake Wales, FL
- NPI 1518135300
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.