CENTRAL FLORIDA SPORTS MEDICINE & ORTHOPAEDIC CENTER (NPI# 1265622203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265622203 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA SPORTS MEDICINE & ORTHOPAEDIC CENTER |
| Practice Address |
1649 W Eau Gallie Blvd Suite 201 Melbourne FL 32935-4160 |
| Practice Telephone | 3212559310 |
| Practice Fax Number | 3217525218 |
| Mailing Telephone | 3212559310 |
| Mailing Fax Number | 3217525218 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | MRS. VALORA GURGANIOUS (OFFICE MANAGER) |
| Authorized Official Telephone | 3212559310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME69853 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1649 W EAU GALLIE BLVD SUITE 201 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062401 | Pinnacle Eye Center Inc | Ophthalmology | 1649 W Eau Gallie Blvd, Ste 100, Melbourne, FL 32935-4160 | 2005-09-07 |
| 1922358100 | Winslow Retina & Vision Center, Inc. | Ophthalmology | 1649 W Eau Gallie Blvd, Suite 201, Melbourne, FL 32935-4160 | 2012-09-14 |
| 1194763094 | Jenifer Jan Ramsower | Optometrist | 1649 W Eau Gallie Blvd, Ste 100, Melbourne, FL 32935-4160 | 2006-06-03 |
| 1043261506 | Paul L Winslow IIi | Ophthalmology | 1649 W Eau Gallie Blvd, Suite 201, Melbourne, FL 32935-4160 | 2006-05-12 |
| 1215921275 | Regine M Pappas | Ophthalmology | 1649 W Eau Gallie Blvd, Ste 100, Melbourne, FL 32935 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748423 | Health First Medical Group, LLC | Orthopaedic Surgery | 205 East Nasa Blvd, Melbourne, FL 32901-1937 | 2019-12-31 |
| 1669621785 | Brandon Daniel Frye | Orthopaedic Surgery | 2010 W Eau Gallie Blvd, Unit 104, Melbourne, FL 32935-4033 | 2008-09-12 |
| 1871601740 | Allison Muia Wade | Orthopaedic Surgery | 930 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1901 | 2006-08-29 |
| 1023053535 | Keith Girton | Orthopaedic Surgery | 7000 Spyglass Ct Ste 310, Melbourne, FL 32940-7948 | 2006-06-18 |
| 1104882539 | Raymond J. Delorenzi | Orthopaedic Surgery | 7970 N Wickham Rd Ste 102, Melbourne, FL 32940-8299 | 2006-04-25 |
| 1407822042 | Daniel N Segina | Orthopaedic Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 | 2006-02-24 |
| 1184697450 | Richard Allan Hynes | Orthopaedic Surgery | 2222 S Harbor City Blvd Ste 610, Melbourne, FL 32901-5591 | 2006-02-08 |
| 1689662025 | Robert F Brennan | Orthopaedic Surgery | 1344 S. Apollo Blvd, Ste D, Melbourne, FL 32901 | 2005-10-10 |
| 1831181346 | Daniel L King | Orthopaedic Surgery | 2328 Medico Ln, Melbourne, FL 32940-7406 | 2005-08-19 |
| 1750382289 | Anthony Lombardo | Orthopaedic Surgery | 709 S. Harbor City Boulevard, Suite 100, Melbourne, FL 32901-1936 | 2005-08-09 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.