# ORLANDO ORTHOPAEDIC CENTER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orlando Orthopaedic Center - WL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164154407
- **Authorized official:** KEVIN C JOYCE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (407) 254-2555

## Contact information

- **Practice address:** 464 N ALAFAYA TRL STE 108, ORLANDO, FL 32828-4350
- **Practice address phone:** (407) 254-2500
- **Mailing address:** 25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806-4476
- **Mailing address phone:** (407) 254-2500
- **Mailing address fax:** (407) 423-2789

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2022
- **Last updated:** 06/12/2023