Organization
CENTRAL FLORIDA ORTHOPAEDIC SURGERY ASSOCIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI SUE SHARPE CPC (PRACTICE ADMINISTRATOR)
(863) 666-3436
Entity
Organization
Contact information
Practice address
2000 E EDGEWOOD DR, SUITE 112, LAKELAND, FL 33803-3653
(863) 666-3436
(863) 667-3550
Mailing address
2000 E EDGEWOOD DR, SUITE 112, LAKELAND, FL 33803-3653
(863) 666-3436
(863) 667-3550
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME76265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1844429
UNITED HEALTH CARE
FL
01
—
1994
AVMED
FL
01
—
43865
BCBS
FL
01
—
6419019001
CIGNA
FL
01
—
7287263
AETNA
FL
01
—
DC2168
RAILROAD MEDICARE
FL
Enumeration date
09/20/2006
Last updated
07/28/2015
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