Provider Demographics
NPI:1811908890
Name:COPE, LLOYD R
Entity type:Individual
Prefix:
First Name:LLOYD
Middle Name:R
Last Name:COPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5597 N DIXIE HWY
Mailing Address - Street 2:ORTHOPAEDIC INSITUTUTE
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-3406
Mailing Address - Country:US
Mailing Address - Phone:954-958-4800
Mailing Address - Fax:954-958-4899
Practice Address - Street 1:4725 N FEDERAL HWY
Practice Address - Street 2:ORTHOPAEDIC CENTER
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4603
Practice Address - Country:US
Practice Address - Phone:954-958-4800
Practice Address - Fax:954-958-4899
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70455207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251871600Medicaid
FL251871600Medicaid
FL319732Medicare ID - Type Unspecified