# SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770606352
- **Legal business name:** SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE
- **Authorized official:** DR. WILLIAM E. CARLSON M.D. (MANAGING PARTNER)
- **Authorized official phone:** (772) 288-2400

## Contact information

- **Practice address:** 1050 SE MONTEREY RD, SUITE 302, STUART, FL 34994-4512
- **Practice address phone:** (772) 288-2400
- **Practice address fax:** (772) 419-0143
- **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:** 04/09/2007
- **Last updated:** 07/17/2007