Provider Demographics
NPI:1275326290
Name:ELEVATED ORTHO CARE PLLC
Entity type:Organization
Organization Name:ELEVATED ORTHO CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KOJO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARFO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-889-6012
Mailing Address - Street 1:PO BOX 121041
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-0009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3945 W BROWARD BLVD UNIT 121041
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-1051
Practice Address - Country:US
Practice Address - Phone:856-889-6012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty