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Organization
PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER
Active
Organization
PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER
Active
Other names
Provident
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL F SHULER MD (MANAGER)
(920) 344-8665
Entity
Organization
Contact information
Practice address
801 MARSHALL FARMS RD, OCOEE, FL 34761-3316
(407) 906-3621
(407) 614-3171
Mailing address
801 MARSHALL FARMS RD, OCOEE, FL 34761-3316
(407) 906-3621
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/11/2016
Last updated
09/14/2024
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