Organization
CENTRAL FLORIDA SPORTS MEDICINE & ORTHOPAEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALORA GURGANIOUS (OFFICE MANAGER)
(321) 255-9310
Entity
Organization
Contact information
Practice address
1649 W EAU GALLIE BLVD, SUITE 201, MELBOURNE, FL 32935-4160
(321) 255-9310
(321) 752-5218
Mailing address
1649 W EAU GALLIE BLVD, SUITE 201, MELBOURNE, FL 32935-4160
(321) 255-9310
(321) 752-5218
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME69853
FL
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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