# VIERA SPORTS MEDICINE & ORTHOPEDIC CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Orthopedic & Sports Medicine Center of Brevard, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477509636
- **Authorized official:** DR. JEFFREY GREENSPOON MD (PRESIDENT/OWNER)
- **Authorized official phone:** (321) 434-9200

## Contact information

- **Practice address:** 8725 N. WICKHAM RD, SUITE 301, MELBOURNE, FL 32940
- **Practice address phone:** (321) 434-9200
- **Practice address fax:** (321) 434-9202
- **Mailing address:** 8725 N. WICKHAM RD, SUITE 301, MELBOURNE, FL 32940
- **Mailing address phone:** (321) 434-9200
- **Mailing address fax:** (321) 434-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 05/24/2011