Organization
LEGACY ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D. RILEY IV MD (CEO/PHYSICIAN)
(786) 845-6645
Entity
Organization
Contact information
Practice address
7000 SW 62ND AVE STE 330, SOUTH MIAMI, FL 33143-4717
(786) 238-7402
(215) 330-4808
Mailing address
7000 SW 62ND AVE STE 330, SOUTH MIAMI, FL 33143-4717
(215) 919-0419
(215) 330-4808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117862500
—
FL
Enumeration date
11/07/2020
Last updated
05/11/2026
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