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Organization
ORLANDO SPORTS MEDICINE GROUP, INC
Active
Organization
ORLANDO SPORTS MEDICINE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMARY FOSS (OFFICE MANAGER)
(407) 332-7816
Entity
Organization
Contact information
Practice address
12780 WATERFORD LAKES PKWY, STE 115, ORLANDO, FL 32828-4500
(407) 207-7188
(407) 207-7103
Mailing address
12780 WATERFORD LAKES PKWY, STE 115, ORLANDO, FL 32828-4500
(407) 207-7188
(407) 207-7103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27565
FL
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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