# THE ORTHOPAEDIC INSTITUTE, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE ORTHOPAEDIC INSTITUTE, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578296240
- **Legal business name:** THE ORTHOPAEDIC INSTITUTE, PA
- **Authorized official:** JOLIE HERREN (MANAGER)
- **Authorized official phone:** (352) 336-6000

## Contact information

- **Practice address:** 2955 BROWNWOOD BLVD STE 403, THE VILLAGES, FL 32163-2040
- **Practice address phone:** (352) 336-6000
- **Mailing address:** 4500 NEWBERRY RD, GAINESVILLE, FL 32607-2245
- **Mailing address phone:** (352) 336-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 07/08/2022
- **Last updated:** 08/23/2022