Organization Active NPI

Performance Orthopaedics of Florida, LLC

  • Orthopaedic Surgery Physician
  • Ft Lauderdale, FL
National Provider Identifier
1801198205
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PERFORMANCE ORTHOPAEDICS OF FLORIDA, LLC
Practice address
721 SE 17TH St
Ft Lauderdale, FL 33316-2983
Phone
(954) 765-3200
Fax
(954) 765-3206
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Mrs. Evelyn Fiscaletti
Title
Medical Biller
Phone
(754) 234-6975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

721 SE 17TH St
Ft Lauderdale, FL 33316-2983

Mailing address

721 SE 17TH St
Ft Lauderdale, FL 33316-2983
Phone (954) 765-3200

National Provider Directory

National Provider Directory

Locations

721 SE 17th Street Cswy
Ft Lauderdale, FL 33316
Phone (954) 463-1777

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1801198205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SE 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162983",
            "telephone_number": "954-765-3200",
            "fax_number": "954-765-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SE 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162983",
            "telephone_number": "954-765-3200",
            "fax_number": "954-765-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ORTHOPAEDICS OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "FISCALETTI",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "754-234-6975",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.