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Organization
CENTRAL FLORIDA ORTHOPAEDIC SURGERY ASSOCIATES PL
Active
Organization
CENTRAL FLORIDA ORTHOPAEDIC SURGERY ASSOCIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI SUE SHARPE CPC (PRACTICE ADMINISTRATOR)
(863) 666-3436
Entity
Organization
Contact information
Practice address
2000 E EDGEWOOD DR, SUITE 112, LAKELAND, FL 33803-3653
(863) 666-3436
(863) 667-3550
Mailing address
2000 E EDGEWOOD DR, SUITE 112, LAKELAND, FL 33803-3653
(863) 666-3436
(863) 667-3550
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME76265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1844429
UNITED HEALTH CARE
FL
01
—
1994
AVMED
FL
01
—
43865
BCBS
FL
01
—
6419019001
CIGNA
FL
01
—
7287263
AETNA
FL
01
—
DC2168
RAILROAD MEDICARE
FL
Enumeration date
09/20/2006
Last updated
07/28/2015
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