Organization Active NPI

Specialized Orthopaedic Services of Florida, L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Melbourne, FL
National Provider Identifier
1801853528
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312879 Issued in FL
Legal business name
SPECIALIZED ORTHOPAEDIC SERVICES OF FLORIDA, L.L.C.
Practice address
1900 S Harbor City Blvd
Suite 329
Melbourne, FL 32901-4749
Phone
(321) 626-4636
Fax
(321) 308-1473
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mr. James M. Ladd
Title
Owner
Phone
(321) 626-4636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312879 FL Primary

Addresses

Primary practice location

1900 S Harbor City Blvd
Suite 329
Melbourne, FL 32901-4749

Mailing address

1900 S Harbor City Blvd
Suite 329
Melbourne, FL 32901-4749
Phone (321) 626-4636

National Provider Directory

National Provider Directory

Locations

1900 S Harbor City Blvd
Ste 329
Melbourne, FL 32901
Phone (321) 626-4636

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1801853528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S HARBOR CITY BLVD",
            "address_2": "SUITE 329",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014749",
            "telephone_number": "321-626-4636",
            "fax_number": "321-308-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HARBOR CITY BLVD",
            "address_2": "SUITE 329",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014749",
            "telephone_number": "321-626-4636",
            "fax_number": "321-308-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ORTHOPAEDIC SERVICES OF FLORIDA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-626-4636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.