# DELORENZI ORTHOPAEDIC CENTER PA

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

## Provider details

- **NPI number:** 1316228141
- **Authorized official:** RAYMOND J. DELORENZI M.D. (OWNER)
- **Authorized official phone:** (321) 622-8622

## Contact information

- **Practice address:** 7000 SPYGLASS CT, SUITE 220, VIERA, FL 32940
- **Practice address phone:** (321) 622-8622
- **Practice address fax:** (321) 622-8624
- **Mailing address:** 7000 SPYGLASS CT, SUITE 220, MELBOURNE, FL 32940-8288
- **Mailing address phone:** (321) 622-8622
- **Mailing address fax:** (321) 622-8624

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2011
- **Last updated:** 05/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | FT345A | MEDICARE PTAN | — |