Provider Demographics
NPI:1073522876
Name:PREFERRED ORTHOPEDICS OF THE PALM BEACHES P.A.
Entity Type:Organization
Organization Name:PREFERRED ORTHOPEDICS OF THE PALM BEACHES P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-733-5888
Mailing Address - Street 1:6056 BOYNTON BEACH BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3500
Mailing Address - Country:US
Mailing Address - Phone:561-733-5888
Mailing Address - Fax:561-733-5851
Practice Address - Street 1:6056 BOYNTON BEACH BLVD STE 215
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3500
Practice Address - Country:US
Practice Address - Phone:561-533-7888
Practice Address - Fax:561-733-5851
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREFERRED ORTHOPEDICS OF THE PALM BEACHES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-08
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99924OtherBCBS
FL5907760001OtherMEDICARE DME
FL99924OtherBCBS
FL5907760001OtherMEDICARE DME