Orthopaedic Specialists of Miami, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OS12597 Issued in FL

Legal business name

ORTHOPAEDIC SPECIALISTS OF MIAMI, PLLC

Practice address

4730 N Habana Ave
Suite 104
Tampa, FL 33614-7163

Phone

(813) 872-4492

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Victor Tiller

Title

Regional Director of Managed Care

Phone

(615) 332-1439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1679970941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "SUITE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147163",
            "telephone_number": "813-872-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "SUITE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147163",
            "telephone_number": "813-872-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALISTS OF MIAMI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "615-332-1439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS12597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Tampa, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.