# PALM BEACH SPORTSMEDICINE & ORTHOPAEDIC CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALM BEACH SPORTSMEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508901570
- **Authorized official:** MS. LYNNE LEROSE (PRACTICE MANAGER)
- **Authorized official phone:** (561) 845-6000

## Contact information

- **Practice address:** 4440 BEACON CIR, SUITE 100, WEST PALM BEACH, FL 33407-3243
- **Practice address phone:** (561) 845-6000
- **Practice address fax:** (561) 845-6916
- **Mailing address:** 4440 BEACON CIR, STE 100, WEST PALM BEACH, FL 33407-3243
- **Mailing address phone:** (561) 845-6000
- **Mailing address fax:** (561) 845-6916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME0029407 | FL | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 04/01/2019