Organization · Type 2 NPI

Orthopedic Surgery and Sports Med

Sports Medicine (Orthopaedic Surgery) Physician · Ormond Beach, FL

NPI number 1982815650 Active

Practice location

1275 W Granada Blvd, Suite 3B
Ormond Beach, FL 32174-8259

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005XME53344 (FL)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1982815650

Orthopedic Surgery and Sports Med's National Provider Identifier is 1982815650, issued on May 24, 2007. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Ormond Beach, FL. The record was last updated on Sep 10, 2007.