# MUSCULOSKELETAL INSTITUTE CHARTERED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003564378
- **Authorized official:** ROY W SANDERS (PRESIDENT)
- **Authorized official phone:** (813) 978-9700

## Contact information

- **Practice address:** 1615 PASADENA AVE S STE 150, SOUTH PASADENA, FL 33707-4517
- **Practice address phone:** (813) 978-9700
- **Mailing address:** 13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
- **Mailing address phone:** (813) 978-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2022
- **Last updated:** 10/04/2022