ORTHO VIP LLC


Address: 1301 E Broward Blvd, Fort Lauderdale, FL 33301-2152
Phone: 7542160788

ORTHO VIP LLC (NPI# 1508369810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508369810
Entity Type Organization
Organization Name ORTHO VIP LLC
Practice Address 1301 E Broward Blvd
Fort Lauderdale
FL 33301-2152
Practice Telephone 7542160788
Mailing Telephone 7542160788
Enumeration Date 2018-03-13
Last Update Date 2020-01-10
Authorized Official Name TEST NAME (OWNER)
Authorized Official Telephone 7542160788
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
2020 Ponce De Leon Blvd Ste 907, Coral Gables, FL 331344479 7867801628 3056038316

Office Location

Street Address 1301 E BROWARD BLVD
City FORT LAUDERDALE
State FL
Zip Code 33301-2152

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1982852927 Micro Surgical Solutions, LLC Neuromusculoskeletal Medicine, Sports Medicine 1301 E Broward Blvd, Suite 300, Fort Lauderdale, FL 33301-2135 2008-09-03
1093972820 Biscup Institute, LLC Neuromusculoskeletal Medicine, Sports Medicine 1301 E Broward Blvd, Suite 300, Fort Lauderdale, FL 33301-2135 2008-05-20

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1629374269 Paul Wigoda, Md, Pa Clinic/Center 1404 E Broward Blvd, Fort Lauderdale, FL 33301-2138 2011-01-30
1336394535 Himmarshee Surgical Center, LLC Clinic/Center 717 Se 2nd St, Fort Lauderdale, FL 33301-3605 2008-12-02
1295983765 James Shoukas Md Pa Clinic/Center 3109 Stirling Rd, Suite 100, Fort Lauderdale, FL 33312-6558 2008-09-08
1679743488 Physicians Outpatient Surgery Center LLC Clinic/Center 1000 Ne 56th St, Fort Lauderdale, FL 33334-4149 2008-03-07
1285788505 Oakridge Ambulatory Surgery Clinic/Center 1000 Ne 56th St, Attn Business Office, Fort Lauderdale, FL 33334-4149 2007-01-23
1316007420 Palmer Surgicenter Clinic/Center 2699 Stirling Rd, #b101, Fort Lauderdale, FL 33312-6517 2006-12-11

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Competitor

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City FORT LAUDERDALE
Zip Code 33301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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