# SPORTS AND ORTHOPEDIC CENTER, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walk-In Orthopedics LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447753942
- **Authorized official:** DR. MANISH K GUPTA (CEO)
- **Authorized official phone:** (561) 314-7200

## Contact information

- **Practice address:** 4705 N FEDERAL HWY, BOCA RATON, FL 33431-5135
- **Practice address phone:** (561) 220-2622
- **Mailing address:** 6280 W SAMPLE RD STE 203, CORAL SPRINGS, FL 33067-3173
- **Mailing address phone:** (954) 481-9942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 03/12/2018