# FLORIDA ORTHOPAEDIC ASSOCIATES 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:** 1740308253
- **Authorized official:** MARK W HOLLMANN MD (PRESIDENT)
- **Authorized official phone:** (386) 774-2500

## Contact information

- **Practice address:** 1053 MEDICAL CENTER DRIVE, SUITE 101, ORANGE CITY, FL 32763
- **Practice address phone:** (386) 774-2500
- **Mailing address:** 740 W PLYMOUTH AVE, DELAND, FL 32720-3282
- **Mailing address phone:** (386) 734-9122
- **Mailing address fax:** (386) 736-4348

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 04/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 056051100 | — | FL |