Organization
ORTHOPEDIC ASSOCIATES OF SOUTHWEST FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD R DUPAY JR. D.O. (PRESIDENT)
(239) 768-2272
Entity
Organization
Contact information
Practice address
13691 METRO PKWY, SUITE 400, FORT MYERS, FL 33912-4327
(239) 768-2272
(239) 768-5549
Mailing address
13691 METRO PKWY, SUITE 400, FORT MYERS, FL 33912-4327
(239) 768-2272
(239) 768-5549
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS4788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046335300
—
FL
01
—
1477541894
JAMES L OTIS NPI
FL
01
—
1962490375
EDWARD DUPAY NPI
FL
05
—
275660900
—
FL
05
—
372238400
—
FL
Enumeration date
10/10/2005
Last updated
10/16/2012
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