NPIMap

Organization Active NPI

South Florida Orthopaedics & Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Stuart, FL
National Provider Identifier
1770606352
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE
Practice address
1050 SE Monterey Rd
Suite 302
Stuart, FL 34994-4512
Phone
(772) 288-2400
Fax
(772) 419-0143
NPI assigned
Apr 9, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. William E. Carlson, M.D.NPI 1558344630
Title
Managing Partner
Phone
(772) 288-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1050 SE Monterey Rd
Suite 302
Stuart, FL 34994-4512

Mailing address

1050 SE Monterey Rd
Suite 400
Stuart, FL 34994-4512
Phone (772) 288-2400

National Provider Directory

National Provider Directory
Tax ID family
South Florida Orthopaedics10 organizations share this tax ID, including this one
Part of
South Florida Orthopaedics

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1770606352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE 400",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-288-2400",
            "fax_number": "772-419-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE 302",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-288-2400",
            "fax_number": "772-419-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "772-288-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.