# ORTHOSPORTS LLC

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

## Provider details

- **NPI number:** 1598989402
- **Authorized official:** BRIAN C OLIVER MD (MEMBER MANAGER)
- **Authorized official phone:** (727) 725-6231

## Contact information

- **Practice address:** 3251 MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL 33761-2022
- **Practice address phone:** (727) 725-6231
- **Practice address fax:** (727) 791-4563
- **Mailing address:** 3251 MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL 33761-2022
- **Mailing address phone:** (727) 725-6231
- **Mailing address fax:** (727) 791-4563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | ME57739 | FL | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 11/12/2008