Provider Demographics
NPI:1790177921
Name:ORTHOPAEDIC CARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:ORTHOPAEDIC CARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:COWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:407-392-1531
Mailing Address - Street 1:PO BOX 1963
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32790-1963
Mailing Address - Country:US
Mailing Address - Phone:407-392-1531
Mailing Address - Fax:407-392-1539
Practice Address - Street 1:7560 RED BUG LAKE RD STE 2014
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6562
Practice Address - Country:US
Practice Address - Phone:407-392-1531
Practice Address - Fax:407-392-1539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0083338207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00406728OtherMEDICARE RAILROAD
FL1871583021OtherNPI
FL48320WOtherMEDICARE ID
FL11530816OtherCAQH
FL11530816OtherCAQH
FLBC9392781OtherDEA