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Organization
ORTHOPAEDIC ASSOCIATES USA, PA
Active
Organization
ORTHOPAEDIC ASSOCIATES USA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA DORAISWAMY (CREDENTIALING SPECIALIST)
(954) 680-2108
Entity
Organization
Contact information
Practice address
15600 NW 67TH AVENUE, SUITE 306, MIAMI LAKES, FL 33014-2176
(954) 476-8800
(954) 476-1362
Mailing address
350 N PINE ISLAND ROAD, SUITE 200, PLANTATION, FL 33324-1849
(954) 476-8800
(954) 476-1362
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
09/08/2006
Last updated
02/24/2020
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