Provider Demographics
NPI:1225383193
Name:ORTHOPEDIX NETWORK SOLUTIONS OF FLORIDA II, LLC
Entity Type:Organization
Organization Name:ORTHOPEDIX NETWORK SOLUTIONS OF FLORIDA II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-326-9898
Mailing Address - Street 1:8323 NW 12TH ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1829
Mailing Address - Country:US
Mailing Address - Phone:305-326-9898
Mailing Address - Fax:305-667-8860
Practice Address - Street 1:8323 NW 12TH ST
Practice Address - Street 2:SUITE 115
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1829
Practice Address - Country:US
Practice Address - Phone:305-326-9898
Practice Address - Fax:305-667-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty