# FORT LAUDERDALE ORTHOPAEDICS PL

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

## Provider details

- **NPI number:** 1326205642
- **Authorized official:** DR. MICHAEL J RUDDY (CEO)
- **Authorized official phone:** (954) 463-3200

## Contact information

- **Practice address:** 1960 NE 47TH ST STE 102, FT LAUDERDALE, FL 33308
- **Practice address phone:** (954) 463-3200
- **Practice address fax:** (954) 463-3292
- **Mailing address:** 1960 NE 47TH ST STE 102, FT LAUDERDALE, FL 33308-7708
- **Mailing address phone:** (954) 463-3200
- **Mailing address fax:** (954) 463-3292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME44143 | FL | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | ME44143 | FL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | ME44143 | FL | — |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 07/06/2018