Orthopaedic Spine & Fracture Center, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME81924 Issued in FL

Legal business name

ORTHOPAEDIC SPINE & FRACTURE CENTER, LLC

Practice address

12983 Southern Blvd Ste 102
Loxahatchee, FL 33470-9254

Phone

(561) 296-2345

Fax

(561) 296-2346

NPI assigned

May 15, 2008

Last updated

May 15, 2008By 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

Dr. Wilbert Pino, M.D.

Title

Physician

Phone

(561) 296-2345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1861669194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD STE 102",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709254",
            "telephone_number": "561-296-2345",
            "fax_number": "561-296-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD STE 102",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709254",
            "telephone_number": "561-296-2345",
            "fax_number": "561-296-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPINE & FRACTURE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-296-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME81924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abimbola Odusanya, MD
• Jody Faye Olayinka, BSW
• Sean Omalley
• Savatrie Orie
• Ksenia A. Orlova, MD
• Orthopedic Special Surgery of the Palm Beaches, Inc
• Orthopedic Special Surgery of the Palm Beaches, LLC
• Kassandra L Otero
• Fernando Enrique Ottino, M.D.
• P Konda MD PA

• Orthopaedic Surgery of the Spine Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.