Provider Demographics
NPI:1508162983
Name:ORTHOSPEX LLC
Entity Type:Organization
Organization Name:ORTHOSPEX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSAFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-720-2800
Mailing Address - Street 1:10580 HAWKS VIEW TER
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-3126
Mailing Address - Country:US
Mailing Address - Phone:954-720-2800
Mailing Address - Fax:
Practice Address - Street 1:8197 N UNIVERSITY DR STE 3
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1743
Practice Address - Country:US
Practice Address - Phone:954-720-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64267207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty