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Organization
ORTHO365 FL1 LLC
Active
Organization
ORTHO365 FL1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORAD CHUGHTAI (AUTHORIZED MEMBER)
(703) 899-0334
Entity
Organization
Contact information
Practice address
1787 OAKBROOK DR, LONGWOOD, FL 32779-3168
(703) 899-0334
Mailing address
1787 OAKBROOK DR, LONGWOOD, FL 32779-3168
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/17/2026
Last updated
09/17/2026
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