Orlando Sports Medicine Group Inc

LBN: Orlando Sports Medicine Group Inc
Orlando Sports Medicine Group Inc is an health care organization with primary practice located at 12780 Waterford Lakes Pkwy Suite 115, Orlando FL 32828-4500. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Orlando Sports Medicine Group Inc can be contacted via phone (407) 207-7188, or through Greeno, Eric via phone (407) 207-7188.

Contact Information

Primary practice address
12780 Waterford Lakes Pkwy Suite 115 Orlando FL 32828-4500
Phone: (407) 207-7188
Fax: (407) 207-7103
Website:
Map and Directions
Authorized official contact:
Name: Greeno, Eric Physical Therapist (PT)
Phone: (407) 207-7188

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1023129178
LBN Legal business name Orlando Sports Medicine Group Inc
DBA Doing business as
Authorized official Greeno, Eric Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023129178 NPPES
Florida Other Y902T BLUE CROSS BLUE SHIELD

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