Spine & Sportsmedicine Specialists

NPI #1457485666 in Odessa, Florida

Provider Information

NPI Number: 1457485666
Entity Type: Organization
Organization Name: Spine & Sportsmedicine Specialists
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 16, 2007
Last Updated: Nov 13, 2012

Practice Location

Address: 17327 BALLMONT PARK DR
City: Odessa
State: Florida
ZIP Code: 33556-6209
Phone: (904) 687-4224

Authorized Official

Name: MICHAEL JEROME LORD, M.D.
Title: PRESIDENT
Phone: (904) 687-4224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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