Organization
ORTHO VIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEAH BOYD (PRACTICE MANAGER/CEO)
(407) 764-0771
Entity
Organization
Contact information
Practice address
628 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6834
(321) 972-2932
(321) 972-2982
Mailing address
628 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6834
(321) 972-2932
(321) 972-2982
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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