Organization Active NPI

Ortho Vip LLC

  • Orthopaedic Surgery Physician
  • Altamonte Springs, FL
National Provider Identifier
1568308419
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHO VIP LLC
Practice address
628 Maitland Ave
Altamonte Springs, FL 32701-6834
Phone
(321) 972-2932
Fax
(321) 972-2982
NPI assigned
Apr 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Ms. Leah Boyd
Title
Practice Manager/Ceo
Phone
(407) 764-0771

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

628 Maitland Ave
Altamonte Springs, FL 32701-6834

Mailing address

628 Maitland Ave
Altamonte Springs, FL 32701-6834
Phone (321) 972-2932

Other practice location 1

1750 N University Dr Ste 105
Coral Springs, FL 33071-6075
Phone (954) 688-9660

Other practice location 2

4621 Hollywood Blvd
Hollywood, FL 33021-6546
Phone (954) 688-9660

National Provider Directory

National Provider Directory

Locations

628 Maitland Ave
Altamonte Springs, FL 32701
Phone (321) 972-2932

1750 N University Dr
Ste 105
Coral Springs, FL 33071
Phone (954) 688-9660

4621 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 688-9660

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1568308419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834",
            "telephone_number": "321-972-2932",
            "fax_number": "321-972-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834",
            "telephone_number": "321-972-2932",
            "fax_number": "321-972-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 N University Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330716075",
            "country_code": "US",
            "telephone_number": "954-688-9660",
            "fax_number": "954-688-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4621 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216546",
            "country_code": "US",
            "telephone_number": "954-688-9660",
            "fax_number": "954-688-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO VIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PRACTICE MANAGER/CEO",
        "authorized_official_telephone_number": "407-764-0771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.