# NEXTSTEP ORLANDO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Project Walk Orlando
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871057836
- **Authorized official:** LIZA RIEDEL (CHIEF EXECUTIVE DIRECTOR)
- **Authorized official phone:** (407) 571-9974

## Contact information

- **Practice address:** 330 HARBOUR ISLE WAY UNIT 1090, LONGWOOD, FL 32750-3979
- **Practice address phone:** (407) 571-9974
- **Practice address fax:** (407) 571-9979
- **Mailing address:** 330 HARBOUR ISLE WAY UNIT 1090, LONGWOOD, FL 32750-3979
- **Mailing address phone:** (407) 571-9974
- **Mailing address fax:** (407) 571-9979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2019
- **Last updated:** 01/24/2019