Organization
DELORENZI ORTHOPAEDIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND J. DELORENZI M.D. (OWNER)
(321) 622-8622
Entity
Organization
Contact information
Practice address
7000 SPYGLASS CT, SUITE 220, VIERA, FL 32940
(321) 622-8622
(321) 622-8624
Mailing address
7000 SPYGLASS CT, SUITE 220, MELBOURNE, FL 32940-8288
(321) 622-8622
(321) 622-8624
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FT345A
MEDICARE PTAN
—
Enumeration date
09/07/2011
Last updated
05/02/2019
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