SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA (NPI# 1790837326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790837326 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA |
| Practice Address |
1050 Se Monterey Rd Suite 400 Stuart FL 34994-4512 |
| Practice Telephone | 7722882400 |
| Practice Fax Number | 7724190143 |
| Mailing Telephone | 7722882400 |
| Mailing Fax Number | 7724190143 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | DR. WILLIAM E. CARLSON (MANAGING PARTNER) |
| Authorized Official Telephone | 7722882400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700201100 | South Florida Orthopaedics & Sports Medicine, Pa | Durable Medical Equipment & Medical Supplies | 9401 Sw Discovery Way Ste 201, Port Saint Lucie, FL 34987-2381 | 2014-02-22 |
| 1841253374 | South Florida Orthopaedics & Sports Medicine, Pa | Podiatrist | 1050 Se Monterey Rd Ste 400, Stuart, FL 34994-4512 | 2006-04-07 |
| Street Address |
1050 SE MONTEREY RD SUITE 400 |
| City | STUART |
| State | FL |
| Zip Code | 34994-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087737 | Rafael Angel Diaz | Optometrist | 1050 Se Monterey Rd, Ste 103, Stuart, FL 34994-4512 | 2005-07-20 |
| 1053772095 | Erin Shaw | Family Medicine | 1050 Se Monterey Rd, 201, Stuart, FL 34994-4512 | 2016-03-18 |
| 1851751895 | Cristina Maria Quintairos-raley | Physical Therapist | 1050 Se Monterey Rd, Suite 304, Stuart, FL 34994-4512 | 2016-03-03 |
| 1811365646 | Premier Neurology and Wellness Center, LLC | Specialist | 1050 Se Monterey Rd, Suite 302, Stuart, FL 34994-4512 | 2015-09-10 |
| 1861879223 | Ashley Erikson | Nurse Practitioner | 1050 Se Monterey Rd, Suite 202, Stuart, FL 34994-4512 | 2015-05-05 |
| 1700277217 | Samantha Ann Hamilton | Nurse Practitioner | 1050 Se Monterey Rd, 101, Stuart, FL 34994-4512 | 2015-02-05 |
| 1154731362 | Advanced Digestive Care of Stuart | Specialist | 1050 Se Monterey Rd, Suite 203, Stuart, FL 34994-4512 | 2014-04-28 |
| 1942553144 | Katz Pediatrics P.a. | Pediatrics | 1050 Se Monterey Rd, Ste 302, Stuart, FL 34994-4512 | 2012-10-25 |
| 1588936025 | Kelly L Carbonaro | Nurse Practitioner | 1050 Se Monterey Rd, #201, Stuart, FL 34994-4512 | 2012-01-30 |
| 1609164029 | Advanced Colorectal Surgery and Wellness | Colon & Rectal Surgery | 1050 Se Monterey Rd, Suite 202, Stuart, FL 34994-4512 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225732 | Promed Dme LLC. | Durable Medical Equipment & Medical Supplies | 900 Se Federal Hwy Ste 301, Stuart, FL 34994-3733 | 2020-11-02 |
| 1063010619 | Always Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 300 Colorado Ave Ste 207, Stuart, FL 34994-2103 | 2020-10-15 |
| 1679189815 | Pro-med Equipment LLC | Durable Medical Equipment & Medical Supplies | 789 Sw Federal Hwy Ste 206, Stuart, FL 34994-2962 | 2020-09-22 |
| 1114537479 | M & S Universal Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 759 Sw Federal Hwy Ste 310, Stuart, FL 34994-2923 | 2020-08-03 |
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1801442645 | Bc Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1320 Se Federal Hwy Ste 206, Stuart, FL 34994-3410 | 2019-08-16 |
| 1184278079 | Victory Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1320 Se Federal Hwy Ste 211, Stuart, FL 34994-3410 | 2019-07-29 |
| 1538726898 | Skye Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 529 Se Central Pkwy, Stuart, FL 34994-3992 | 2019-05-22 |
| 1699234617 | Trojan Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 1320 Se Federal Hwy Ste 208, Stuart, FL 34994-3410 | 2019-03-19 |
| 1114207479 | Medical Supply Shoppe Inc. | Durable Medical Equipment & Medical Supplies | 2591 Se Ocean Boulevard, Stuart, FL 34996-3313 | 2011-08-18 |
| Find all providers in STUART | ||||
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| 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.