SPINE & SPORTSMEDICINE SPECIALISTS – Orthopaedic Surgery Physician, NPI 1457485666

SPINE & SPORTSMEDICINE SPECIALISTS is a healthcare provider. based in Odessa, Florida. specializing in Orthopaedic Surgery Physician. The NPI Number for SPINE & SPORTSMEDICINE SPECIALISTS is 1457485666

Main info

Organization
Name
SPINE & SPORTSMEDICINE SPECIALISTS
NPI
1457485666
Phone
(904) 687-4224
Address
17327 BALLMONT PARK DR
Authorized Official
MICHAEL JEROME LORD PRESIDENT M.D.
Enumeration Date
16 March 2007
Last Update Date
13 November 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for SPINE & SPORTSMEDICINE SPECIALISTS

  • 17327 BALLMONT PARK DR

    ODESSA, FL 335566209

    Phone: (904) 687-4224

    Fax: (813) 852-2137

    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 33556)

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Frequently asked questions

How do I look up SPINE & SPORTSMEDICINE SPECIALISTS by NPI?
Use NPI 1457485666 when you need to reference SPINE & SPORTSMEDICINE SPECIALISTS in forms, claims, or directories.
Does this profile mean SPINE & SPORTSMEDICINE SPECIALISTS is currently active?
Yes — SPINE & SPORTSMEDICINE SPECIALISTS appears active in the national provider directory.
Does SPINE & SPORTSMEDICINE SPECIALISTS list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for SPINE & SPORTSMEDICINE SPECIALISTS. Clinical services aligned with this taxonomy classification.
Does SPINE & SPORTSMEDICINE SPECIALISTS practice in Florida?
You will see Odessa, Florida on file for SPINE & SPORTSMEDICINE SPECIALISTS alongside any extra practice locations.
How can I contact SPINE & SPORTSMEDICINE SPECIALISTS?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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