Orlando Sports Medicine Group, INC

NPI #1093061673 in Orlando, Florida

Provider Information

NPI Number: 1093061673
Entity Type: Organization
Organization Name: Orlando Sports Medicine Group, INC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 1, 2012
Last Updated: Aug 1, 2012

Practice Location

Address: 12780 WATERFORD LAKES PKWY
Address 2: STE 115
City: Orlando
State: Florida
ZIP Code: 32828-4500
Phone: (407) 207-7188

Authorized Official

Name: KIMARY FOSS
Title: OFFICE MANAGER
Phone: (407) 332-7816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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