# CENTRAL FLORIDA SPORTS MEDICINE & ORTHOPAEDIC CENTER

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

## Provider details

- **NPI number:** 1265622203
- **Authorized official:** MRS. VALORA GURGANIOUS (OFFICE MANAGER)
- **Authorized official phone:** (321) 255-9310

## Contact information

- **Practice address:** 1649 W EAU GALLIE BLVD, SUITE 201, MELBOURNE, FL 32935-4160
- **Practice address phone:** (321) 255-9310
- **Practice address fax:** (321) 752-5218
- **Mailing address:** 1649 W EAU GALLIE BLVD, SUITE 201, MELBOURNE, FL 32935-4160
- **Mailing address phone:** (321) 255-9310
- **Mailing address fax:** (321) 752-5218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME69853 | FL | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007