Organization
CENTRAL ORTHOPEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI L KNEZ (ADMINISTRATOR)
(863) 299-5667
Entity
Organization
Contact information
Practice address
222 E CENTRAL AVE, WINTER HAVEN, FL 33880-6311
(863) 299-5667
(863) 299-7722
Mailing address
222 E CENTRAL AVE, WINTER HAVEN, FL 33880-6311
(863) 299-5667
(863) 299-7722
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342990001
DMERC/PGBA
FL
01
—
990523500
ENVOY
FL
01
—
99538
PRUDENTIAL
FL
Enumeration date
10/12/2005
Last updated
04/20/2008
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