# FLORIDA ORTHOPAEDIC ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043480957
- **Authorized official:** MARK W HOLLMANN MD (PRESIDENT)
- **Authorized official phone:** (407) 333-4507

## Contact information

- **Practice address:** 1337 S INTERNATIONAL PKWY STE 1341, LAKE MARY, FL 32746-1402
- **Practice address phone:** (407) 333-4507
- **Mailing address:** 740 W PLYMOUTH AVE, DELAND, FL 32720-3282
- **Mailing address phone:** (386) 734-9122
- **Mailing address fax:** (386) 736-4348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 01/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 056051100 | — | FL |
