Provider Demographics
NPI:1871830463
Name:COMPREHENSIVE ORTHOPEDICS AND SPINE OF SOUTH FLORIDA, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE ORTHOPEDICS AND SPINE OF SOUTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-518-1188
Mailing Address - Street 1:3618 LANTANA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33462-2246
Mailing Address - Country:US
Mailing Address - Phone:877-518-1188
Mailing Address - Fax:855-440-2220
Practice Address - Street 1:2340 CORAL WAY
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3511
Practice Address - Country:US
Practice Address - Phone:877-518-1188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME107717207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty