Provider Demographics
NPI:1588702450
Name:ORTHOPEDIC SPECIALISTS, LLP
Entity type:Organization
Organization Name:ORTHOPEDIC SPECIALISTS, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-938-1935
Mailing Address - Street 1:37026 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1109
Mailing Address - Country:US
Mailing Address - Phone:727-938-1935
Mailing Address - Fax:727-937-7199
Practice Address - Street 1:37026 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1109
Practice Address - Country:US
Practice Address - Phone:727-938-1935
Practice Address - Fax:727-937-7199
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPEDIC SPECIALISTS, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-02
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251474500Medicaid