# SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700201100
- **Authorized official:** DR. WILLIAM E CARLSON MD (MANAGING PARTNER)
- **Authorized official phone:** (772) 288-2400

## Contact information

- **Practice address:** 9401 SW DISCOVERY WAY STE 201, PORT SAINT LUCIE, FL 34987-2381
- **Practice address phone:** (772) 288-2400
- **Mailing address:** 1050 SE MONTEREY RD, SUITE 400, STUART, FL 34994-4512
- **Mailing address phone:** (772) 288-2400
- **Mailing address fax:** (772) 419-0143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2014
- **Last updated:** 01/15/2019