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Organization
CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC
Active
Organization
CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC
Active
Parent organization
CELEBRATION ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CELEBRATION ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE
Authorized official
ENEIDA CARRASQUILLO (OPERATIONS MANAGER)
(321) 939-0222
Entity
Organization
Contact information
Practice address
173 N CHARLES RICHARD BEALL BLVD STE 106, DEBARY, FL 32713-2211
(321) 939-0222
Mailing address
2954 MALLORY CIR STE 101, KISSIMMEE, FL 34747-1822
(321) 939-0222
(321) 939-0225
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
10/01/2025
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