SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA
NPI 1700201100
Durable Medical Equipment & Medical Supplies in Port Saint Lucie, FL

Q: What is South Florida Orthopaedics & Sports Medicine, PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since February 22, 2014

9401 SW DISCOVERY WAY STE 201, PORT SAINT LUCIE, FL 34987(772) 288-2400 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About South Florida Orthopaedics & Sports Medicine, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA (NPI 1700201100) is a healthcare organization registered as a durable medical equipment & medical supplies in Port Saint Lucie, Florida and active in the NPI registry since February 2014. The organization maintains a secondary practice location in Port St Lucie and lists William E Carlson, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1700201100

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSOUTH FLORIDA ORTHOPAEDICS & SPORTS MEDICINE, PA

Location Address9401 SW DISCOVERY WAY STE 201Port Saint Lucie, FL 34987-2381

Mailing Address1050 Se Monterey Rd, Suite 400Stuart, FL 34994-4512 · (772) 288-2400 · Fax (772) 419-0143

Phone(772) 288-2400

Organization SubpartNo

Authorized OfficialWilliam E CarlsonManaging Partner · (772) 288-2400

Enumeration DateFebruary 22, 2014

Last NPPES UpdateJanuary 15, 2019

✔ NPI 1700201100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

9401 SW DISCOVERY WAY STE 201, Port Saint Lucie, FL 34987

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Secondary Practice Location 1

Location 1124 SW Chamber CtPort St Lucie, FL 34986-3496 · Phone (772) 288-2400 · Fax (772) 419-0143

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Florida Orthopaedics & Sports Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20190319002742DME · Physician - Orthopedic/Orthopedic SurgeryDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIVAM NARENDRA UPADHYAYA MD

Orthopaedic Surgery