| Organization Name: | FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC |
| NPI Number: | 1205945243 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRA S BAKER (ADMINISTRATOR) |
| Mailing Address: | 13060 Telecom Parkway Temple Terrace |
| State: | FL US |
| Postal Code: | 33637 |
| Phone Number: | 8139724905 |
| Fax Number: | 8135586441 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 09/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | #1135 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |