# ORTHOSPORTS LLC

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

## Provider details

- **NPI number:** 1831137066
- **Authorized official:** MS. BRIAN C OLIVER MD (ORTHPEDIC SURGEON)
- **Authorized official phone:** (727) 725-6231

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 11/12/2008