SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1366884496

SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC is a healthcare provider. based in Clermont, Florida. specializing in Sports Medicine (Orthopaedic Surgery) Physician. The organization holds a License No. ME0037707 (FL). The NPI Number for SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC is 1366884496

Main info

Organization
Name
SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC
NPI
1366884496
Phone
(352) 243-9700
Address
1925 DON WICKHAM DR
Authorized Official
TRACEE LEIANN RAY PRESIDENT RN
Enumeration Date
17 July 2013
Last Update Date
10 December 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC

  • 1925 DON WICKHAM DR

    CLERMONT, FL 347111915

    Phone: (352) 243-9700

    Fax: (352) 243-5795

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34711)

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Frequently asked questions

What is the 10-digit NPI for SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC?
SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC — NPI 1366884496 — is the standard way to identify this listing.
Is SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC listed as active for patients and plans?
The listing shows SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC as active in the NPI system.
What is SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC's specialty?
The listing groups SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC with Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC?
SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC's geographic hint is Clermont, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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