Provider Demographics
NPI:1780646950
Name:ORTHOPAEDIC CARE SPECIALIST PL
Entity type:Organization
Organization Name:ORTHOPAEDIC CARE SPECIALIST PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUO-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-840-1090
Mailing Address - Street 1:733 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4513
Mailing Address - Country:US
Mailing Address - Phone:561-840-1090
Mailing Address - Fax:561-840-0791
Practice Address - Street 1:733 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4513
Practice Address - Country:US
Practice Address - Phone:561-840-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256385100Medicaid
FLC15127OtherRAILROAD
FL256385100Medicaid
FL1255210001Medicare NSC