Organization
CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC
Active
Parent organization
CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC
Other names
Celebration Orthopaedic and Sports Medicine Institute, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC
Authorized official
ENEIDA CARRASQUILLO (OPERATIONS MANAGER)
(321) 939-0222
Entity
Organization
Contact information
Practice address
6718 LAKE NONA BLVD STE 110, ORLANDO, FL 32827-7984
(321) 939-0222
Mailing address
2954 MALLORY CIR STE 101, CELEBRATION, FL 34747-1822
(321) 939-0222
(321) 939-0225
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
07/29/2025
Last updated
10/07/2025
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