# ORTHO VIP LLC

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

## Provider details

- **NPI number:** 1568308419
- **Authorized official:** MS. LEAH BOYD (PRACTICE MANAGER/CEO)
- **Authorized official phone:** (407) 764-0771

## Contact information

- **Practice address:** 628 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6834
- **Practice address phone:** (321) 972-2932
- **Practice address fax:** (321) 972-2982
- **Mailing address:** 628 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6834
- **Mailing address phone:** (321) 972-2932
- **Mailing address fax:** (321) 972-2982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/24/2026
- **Last updated:** 04/24/2026