institution
Orlando Sports Medicine Group Inc
Multi-Specialty Clinic/Center in Orlando, Florida
NPI 1023129178

Orlando Sports Medicine Group Inc is a Multi-Specialty Clinic/Center based in Orlando, FL and is specialized in Multi-Specialty. Orlando Sports Medicine Group Inc practices in Orlando, FL. The NPI Number for Orlando Sports Medicine Group Inc is 1023129178 and holds a License No. (Florida).

The current practice location address for Orlando Sports Medicine Group Inc is 12780 Waterford Lakes Pkwy, Orlando, FL and can be reached out via phone at 407-207-7188 and via fax at 407-207-7103. You can also correspond with Orlando Sports Medicine Group Inc through the mailing address at 12780 WATERFORD LAKES PKWY, ORLANDO, FL - 32828-4500 (mailing address contact number: 407-207-7188).

Location: 12780 Waterford Lakes Pkwy, Orlando, FL, 32828-4500
institution
Provider Profile Details
NPI Number
1023129178
Provider Name
Orlando Sports Medicine Group Inc
Credential
Provider Entity Type
Organization
Address
12780 Waterford Lakes Pkwy, Orlando, FL, 32828-4500
Phone Number
407-207-7188
Fax Number
407-207-7103
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
Y902T 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
12780 Waterford Lakes Pkwy
City
State
Zip
32828-4500
Phone Number
407-207-7188
Fax Number
407-207-7103
person
Provider Business Mailing Address Details
Address
12780 Waterford Lakes Pkwy
City
State
Zip
32828-4500
Phone Number
407-207-7188
Fax Number
407-207-7103
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
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Definition
Definition to come...
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