Organization
HONOLULU SPORTS MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN DONOVAN (CLINIC ADMINISTRATOR)
(808) 521-6564
Entity
Organization
Contact information
Practice address
932 WARD AVE, SUITE 460, HONOLULU, HI 96814-2131
(808) 521-6564
Mailing address
932 WARD AVE, SUITE 460, HONOLULU, HI 96814-2131
(808) 521-6564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
Primary
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
Other
Enumeration date
02/06/2007
Last updated
09/11/2025
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