Organization
ORTHO FLORIDA, LLC
Active
Parent organization
ORTHO FLORIDA, LLC
Other names
Sports Ortho, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO FLORIDA, LLC
Authorized official
DAVID PALKOVICH (CEO)
(941) 730-4965
Entity
Organization
Contact information
Practice address
6280 W SAMPLE RD, SUITE 202, CORAL SPRINGS, FL 33067-3173
(954) 481-9942
Mailing address
660 GLADES RD, SUITE 460, BOCA RATON, FL 33431-6465
(561) 300-1774
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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