Active NPI
Orthopedic Specialty Instiute, PLLC
- Sports Medicine (Orthopaedic Surgery) Physician
- Hollywood, FL
National Provider Identifier
1962860197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- ME80620
- Legal business name
- ORTHOPEDIC SPECIALTY INSTIUTE, PLLC
- Practice address
- 3990 Sheridan St
Suite 106-107
Hollywood, FL 33021-3661 - Phone
- (954) 986-7079
- Fax
- (954) 986-1331
- NPI assigned
- Feb 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Liliana Lehman
- Title
- Administrator
- Phone
- (954) 986-7079
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ME80620 | FL | Primary |
Addresses
Primary practice location
3990 Sheridan St
Suite 106-107
Hollywood, FL 33021-3661
Mailing address
3990 Sheridan St
Suite 106-107
Hollywood, FL 33021-3661
Phone (954) 986-7079
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259837000 | Medicaid | FL | |
| 35636 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3990 Sheridan St
Ste 106107
Hollywood, FL 33021
Phone (954) 986-0390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Hollywood, FL
- NPI 1639165400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454371200000",
"number": "1962860197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 SHERIDAN ST",
"address_2": "SUITE 106-107",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213661",
"telephone_number": "954-986-7079",
"fax_number": "954-986-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 SHERIDAN ST",
"address_2": "SUITE 106-107",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213661",
"telephone_number": "954-986-7079",
"fax_number": "954-986-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC SPECIALTY INSTIUTE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-02",
"status": "A",
"authorized_official_last_name": "LEHMAN",
"authorized_official_first_name": "LILIANA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-986-7079",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "ME80620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259837000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35636",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
- Ortho Florida, LLC
- Orthopaedic Associates of South Broward PA
- Orthopaedic Rehab Ergonmics
- Orthopedic and Surgery Center LLC
- Orthopedic and Surgery Center LLC
- Orthopedic Spine Solutions Corp
- Lisa Mary Ortigara Crego, LCSW CEDS
- Diamarys Ortiz Morales
- Juan David Ortiz Sanchez, LPN
- Cristina Maria Ortiz Villabona, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.