Organization Name: | ORLANDO SPORTS MEDICINE GROUP, INC |
NPI Number: | 1093061673 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMARY FOSS (OFFICE MANAGER) |
Mailing Address: | 12780 Waterford Lakes Pkwy Ste 115 Orlando |
State: | FL US |
Postal Code: | 328284500 |
Phone Number: | 4072077188 |
Fax Number: | 4072077103 |
NPI Enumeration Date: | 08/01/2012 |
NPI Last Update Date: | 08/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT27565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |