Provider Demographics
NPI:1578506358
Name:HILL ORTHOPEDIC CENTER
Entity Type:Organization
Organization Name:HILL ORTHOPEDIC CENTER
Other - Org Name:NATHAN BERNARD HILL JR MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-447-7001
Mailing Address - Street 1:4125 HUNTERS PARK LN STE 117
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7615
Mailing Address - Country:US
Mailing Address - Phone:407-447-7001
Mailing Address - Fax:407-447-7006
Practice Address - Street 1:4125 HUNTERS PARK LN STE 117
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7615
Practice Address - Country:US
Practice Address - Phone:407-447-7001
Practice Address - Fax:407-447-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207X00000X, 332900000X
FLME75569332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332900000XSuppliersNon-Pharmacy Dispensing SiteGroup - Multi-Specialty
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1016256OtherNCPDP PROVIDER IDENTIFICATION NUMBER
FLK5099Medicare UPIN