Provider Demographics
NPI:1972888634
Name:CHOICE ORTHOPEDICS
Entity Type:Organization
Organization Name:CHOICE ORTHOPEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-299-1230
Mailing Address - Street 1:43 S POMPANO PKWY
Mailing Address - Street 2:SUITE # 246
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3001
Mailing Address - Country:US
Mailing Address - Phone:561-299-1230
Mailing Address - Fax:561-404-8722
Practice Address - Street 1:2419 E COMMERCIAL BLVD
Practice Address - Street 2:SUITE# 101
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4042
Practice Address - Country:US
Practice Address - Phone:561-299-1230
Practice Address - Fax:561-404-8722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073142174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty