Orlando Sports Medicine Group Inc in Orlando - Multi-specialty

Orlando Sports Medicine Group Inc - NPI 1023129178

Orlando Sports Medicine Group Inc is a Multi-specialty in Orlando, Florida. Orlando Sports Medicine Group Inc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Orlando Sports Medicine Group Inc is 1023129178. The last update date is 2008-08-19.

Orlando Sports Medicine Group Inc's current location address is 12780 Waterford Lakes Pkwy, Orlando, Florida. You can contact this provider via phone number 4072077188 and fax number 4072077103. The mailing address for Orlando Sports Medicine Group Inc is 12780 Waterford Lakes Pkwy, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Orlando Sports Medicine Group Inc
Address 12780 Waterford Lakes Pkwy, Orlando, Florida
Phone Number 4072077188
Fax Number 4072077103
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Greeno Eric
Credentials PT
Telephone Number 4072077188

NPI Number Detail

NPI Number 1023129178
Provider Enumeration Date 2006-08-31
Last Updated Date 2008-08-19

Provider Mailing Address Detail

Address 12780 Waterford Lakes Pkwy
City Orlando
State Florida (FL)
Post Code 328284500
Phone Number 4072077188
Fax Number 4072077103

Provider's Primary Taxonomy Detail

Speciality Multi-specialty
Taxonomy 261Qm1300X
Definition:
Provides integrated outpatient care across medical and surgical specialties with referrals under one roof.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Y902T FL BLUE CROSS BLUE SHIELD

Post Comment/ Review Below

FAQs about Orlando Sports Medicine Group Inc

What is the unique identifier code issued to Orlando Sports Medicine Group Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Orlando Sports Medicine Group Inc has been assigned the NPI (National Provider Identifier) 1023129178. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Orlando Sports Medicine Group Inc's facilities are situated?

The facilities of Orlando Sports Medicine Group Inc are physically located at the following address: 12780 Waterford Lakes Pkwy, Orlando, FL, 328284500.

What is Orlando Sports Medicine Group Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Orlando Sports Medicine Group Inc is Multi-specialty, and the taxonomy code that categorizes this field of expertise is 261Qm1300X.

When was the Orlando Sports Medicine Group Inc's 1023129178 issued?

The Orlando Sports Medicine Group Inc's 1023129178 was issued on 2006-08-31.

When was the Orlando Sports Medicine Group Inc's information last updated?

The Orlando Sports Medicine Group Inc's information was last updated on 2008-08-19.

Other Providers of Multi-specialty
Neil R Wensink

NPI Number: 1528061579

Address: 28821 Lorain Rd, North Olmsted, OH

Chess Lynnette Miles

NPI Number: 1427051465

Address: 6733 Fairmont Pkwy, Pasadena, TX

Gary Dean Bridges

NPI Number: 1851394050

Address: 1103 Buckeye Ave Ste 102, Ames, IA

Michael Scott Niblo

NPI Number: 1902809395

Address: 425 W 20th St, Norfolk, VA

Kevin Lee Bays

NPI Number: 1851394043

Address: 212 Vance Rd, Lebanon, MO

Andrew Joseph Kasic

NPI Number: 1194728386

Address: 1430 Ebenezer Rd, Rock Hill, SC

Robert Joseph Reier

NPI Number: 1265435457

Address: 205 E Broadway, Bel Air, MD

William L. Buchar

NPI Number: 1790788792

Address: 3015 E New York St, Aurora, IL

Marcia Lynne Nibert

NPI Number: 1871596049

Address: 264 Latitude Ln Ste 103, Clover, SC

Michael Joseph Bawek

NPI Number: 1043213218

Address: 10532 Drew Ave S, Bloomington, MN

Marie E Miller

NPI Number: 1740283902

Address: 1111 N 13th St Ste 206, Omaha, NE

Eric Samuel Osterberg

NPI Number: 1659374817

Address: 718 S Main St, Red Lion, PA

Gregg Stern

NPI Number: 1851394860

Address: 121 Mchenry Rd, Buffalo Grove, IL

Robert Eugene Stroud

NPI Number: 1356344584

Address: 3204 Archdale Rd, Archdale, NC

Ryan Matthew Haely

NPI Number: 1881697001

Address: 6162 Carlyle Dr, Seven Hills, OH