# CENTRAL FLORIDA ORTHOPAEDIC SURGERY ASSOCIATES PL

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

## Provider details

- **NPI number:** 1457458317
- **Authorized official:** MRS. VICKI SUE SHARPE CPC (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (863) 666-3436

## Contact information

- **Practice address:** 2000 E EDGEWOOD DR, SUITE 112, LAKELAND, FL 33803-3653
- **Practice address phone:** (863) 666-3436
- **Practice address fax:** (863) 667-3550
- **Mailing address:** 2000 E EDGEWOOD DR, SUITE 112, LAKELAND, FL 33803-3653
- **Mailing address phone:** (863) 666-3436
- **Mailing address fax:** (863) 667-3550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME76265 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/28/2015

## 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 |