Organization
CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MCKENNA (BILLING MANAGER)
(321) 939-0222
Entity
Organization
Contact information
Practice address
339 CYPRESS PKWY STE 220, KISSIMMEE, FL 34759-3315
(321) 939-0222
Mailing address
2954 MALLORY CIR STE 101, CELEBRATION, FL 34747-1822
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129001800
—
FL
Enumeration date
11/24/2025
Last updated
03/31/2026
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