Florida Keys Orthopedic and Sports Medicine Center Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FLORIDA KEYS ORTHOPEDIC AND SPORTS MEDICINE CENTER INC

Practice address

100210 Overseas Hwy
Ste 3
Key Largo, FL 33037-2527

Phone

(305) 453-3633

Fax

(305) 453-3637

NPI assigned

May 4, 2006

Last updated

Mar 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul S Ellison Jr., MDNPI 1003808551

Title

President

Phone

(305) 453-3633

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Paul Stribling Ellison Jr., MD

  • Orthopaedic Surgery Physician
  • Key Largo, FL
  • NPI 1003808551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1760430987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100210 OVERSEAS HWY",
            "address_2": "STE 3",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372527",
            "telephone_number": "305-453-3633",
            "fax_number": "305-453-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100210 OVERSEAS HWY",
            "address_2": "STE 3",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372527",
            "telephone_number": "305-453-3633",
            "fax_number": "305-453-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KEYS ORTHOPEDIC AND SPORTS MEDICINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-453-3633",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379646900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rene Agustin Fernandez, M.D.
• Kezia Le Ferrer
• Shekeda Fitzpatrick-Stewart, BS
• Michael Lewis Floren
• Florida Keys Cardiology, LLC
• Florida Keys Therapy LLC
• Florida Orthocare Network, LLC
• Dorsely Lashay Frazier
• Linda Fredrick
• Monique Vanessa French

• Orthopaedic Surgery Physician in Key Largo, FL
• Providers in Key Largo, 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 Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.