1548442833 NPI number — ALLIED ORTHOPEDICS INC

Table of content: (NPI 1548442833)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548442833 NPI number — ALLIED ORTHOPEDICS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIED ORTHOPEDICS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PEDIATRIC ORTHOPEDICS DESIGNS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548442833
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5753 MIAMI LAKES DR E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI LAKES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33014-2417
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-828-3090
Provider Business Mailing Address Fax Number:
305-828-5090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7000 SW 97TH AVE
Provider Second Line Business Practice Location Address:
SUITE #110
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33173-1494
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-275-5656
Provider Business Practice Location Address Fax Number:
305-275-7141
Provider Enumeration Date:
11/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LUNA
Authorized Official First Name:
HERNAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-828-3090

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  POR155 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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