OrganizationActive
The Orthopaedic Institute, PA
NPI 1629610118 · Orthopaedic Surgery Physician · Summerfield, FL
Provider details
- NPI number
- 1629610118
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- The Orthopaedic Institute, PA
- Organization subpart
- Yes
- Authorized official
- Jolie Herren, Credentialing Manager(352) 336-6000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Orthopaedic Hand Surgery Physician207XS0106X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
Practice location
17270 Se 109th Terrace Rd
Summerfield, FL 34491-9015
Phone: (352) 336-6000
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Newberry Rd
Gainesville, FL 32607-2245
Registry dates
- Enumerated
- 2019-10-16
- Last updated
- 2022-05-04
- Certified
- 2022-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.