ORTHOPEDIC CENTER FOR SPORTS MEDICINE – Orthopaedic Surgery Physician, NPI 1831521756

ORTHOPEDIC CENTER FOR SPORTS MEDICINE is a healthcare provider. based in Davenport, Florida. specializing in Orthopaedic Surgery Physician. The organization holds a License No. ME72924 (FL). The NPI Number for ORTHOPEDIC CENTER FOR SPORTS MEDICINE is 1831521756

Main info

Organization
Name
ORTHOPEDIC CENTER FOR SPORTS MEDICINE
NPI
1831521756
Phone
(863) 421-7411
Address
105 PARK PLACE BLVD
Authorized Official
MR. ROBERT MATHIS ADMINISTRATOR
Enumeration Date
1 August 2013
Last Update Date
19 January 2016
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 ORTHOPEDIC CENTER FOR SPORTS MEDICINE

  • 105 PARK PLACE BLVD

    SUITE A

    DAVENPORT, FL 338376858

    Phone: (863) 421-7411

    Fax: (863) 547-9514

    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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Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 33837)

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Frequently asked questions

What is the standard ID for ORTHOPEDIC CENTER FOR SPORTS MEDICINE in the U.S.?
In the U.S., ORTHOPEDIC CENTER FOR SPORTS MEDICINE is identified by NPI 1831521756.
Does the public listing show ORTHOPEDIC CENTER FOR SPORTS MEDICINE as active?
ORTHOPEDIC CENTER FOR SPORTS MEDICINE's NPI record reflects an active status in NPPES.
What services align with ORTHOPEDIC CENTER FOR SPORTS MEDICINE's listing?
ORTHOPEDIC CENTER FOR SPORTS MEDICINE's public classification highlights Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ORTHOPEDIC CENTER FOR SPORTS MEDICINE?
ORTHOPEDIC CENTER FOR SPORTS MEDICINE is associated with Davenport, Florida in the same public data insurers reference.
Who maintains ORTHOPEDIC CENTER FOR SPORTS MEDICINE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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