Provider Demographics
NPI:1114479755
Name:FLORIDA ORTHOPEDIC & INJURY CENTERS
Entity Type:Organization
Organization Name:FLORIDA ORTHOPEDIC & INJURY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-961-0511
Mailing Address - Street 1:3000 SW 148TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4169
Mailing Address - Country:US
Mailing Address - Phone:954-430-4210
Mailing Address - Fax:954-430-6210
Practice Address - Street 1:3000 SW 148TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4169
Practice Address - Country:US
Practice Address - Phone:954-430-4210
Practice Address - Fax:954-430-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9738207X00000X
FLME110115207XS0106X
207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty