# ORLANDO ORTHOPAEDIC CENTER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orlando Orthopaedic Center MD PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740476068
- **Authorized official:** MR. KEVIN C JOYCE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (407) 254-2555

## Contact information

- **Practice address:** 766 N. SUN DRIVE, SUITE 4000, LAKE MARY, FL 32746
- **Practice address phone:** (407) 834-1556
- **Practice address fax:** (407) 834-2789
- **Mailing address:** 25 W. CRYSTAL LAKE STREET, SUITE 200, ORLANDO, FL 32806-4476
- **Mailing address phone:** (407) 254-2500
- **Mailing address fax:** (407) 423-2789

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 06/12/2023