# ORTHOPAEDIC ASSOCIATES USA, PA

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

## Provider details

- **NPI number:** 1689778961
- **Authorized official:** VIDYA DORAISWAMY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (954) 680-2108

## Contact information

- **Practice address:** 15600 NW 67TH AVENUE, SUITE 306, MIAMI LAKES, FL 33014-2176
- **Practice address phone:** (954) 476-8800
- **Practice address fax:** (954) 476-1362
- **Mailing address:** 350 N PINE ISLAND ROAD, SUITE 200, PLANTATION, FL 33324-1849
- **Mailing address phone:** (954) 476-8800
- **Mailing address fax:** (954) 476-1362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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