# ORTHO FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHO FLORIDA, LLC
- **Other names:** Sports Ortho, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386065217
- **Legal business name:** ORTHO FLORIDA, LLC
- **Authorized official:** DAVID PALKOVICH (CEO)
- **Authorized official phone:** (941) 730-4965

## Contact information

- **Practice address:** 6280 W SAMPLE RD, SUITE 202, CORAL SPRINGS, FL 33067-3173
- **Practice address phone:** (954) 481-9942
- **Mailing address:** 660 GLADES RD, SUITE 460, BOCA RATON, FL 33431-6465
- **Mailing address phone:** (561) 300-1774

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 12/19/2013