Provider Demographics
NPI:1235434846
Name:FLORIDA ORTHOPAEDIC SPECIALTY ASSOCIATES, LLC.
Entity Type:Organization
Organization Name:FLORIDA ORTHOPAEDIC SPECIALTY ASSOCIATES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BEISSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-385-2222
Mailing Address - Street 1:6325 US HIGHWAY 27 N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-8226
Mailing Address - Country:US
Mailing Address - Phone:863-385-2222
Mailing Address - Fax:863-382-8765
Practice Address - Street 1:400 AVE K S.E.
Practice Address - Street 2:BLDG D
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33885
Practice Address - Country:US
Practice Address - Phone:863-385-2222
Practice Address - Fax:863-382-8765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty