Provider Demographics
NPI:1568560449
Name:ORTHOPAEDIC ASSOCIATES OF SOUTH BROWARD PA
Entity Type:Organization
Organization Name:ORTHOPAEDIC ASSOCIATES OF SOUTH BROWARD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-961-3500
Mailing Address - Street 1:4700 SHERIDAN ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3420
Mailing Address - Country:US
Mailing Address - Phone:954-961-3500
Mailing Address - Fax:954-961-1835
Practice Address - Street 1:4700 SHERIDAN ST
Practice Address - Street 2:SUITE H
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3420
Practice Address - Country:US
Practice Address - Phone:954-961-3500
Practice Address - Fax:954-961-1835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37564207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL21729Medicare ID - Type Unspecified