Organization
ORTHOSPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C OLIVER MD (MEMBER MANAGER)
(727) 725-6231
Entity
Organization
Contact information
Practice address
3251 MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL 33761-2022
(727) 725-6231
(727) 791-4563
Mailing address
3251 MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL 33761-2022
(727) 725-6231
(727) 791-4563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ME57739
FL
Other
Enumeration date
04/12/2007
Last updated
11/12/2008
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