Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Florida Sports Medicine Institute Inc

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1467621003

Florida Sports Medicine Institute Inc is a Sports Medicine (Orthopaedic Surgery) Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4131 University Blvd S Ste 15
Jacksonville, FL 32216-4326
Phone: (904) 854-4587
Fax: (904) 429-0318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence OS7217 (FL)

Record details

NPI number1467621003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Haseltine — Ceo · (904) 823-3764
NPI enumeratedFebruary 28, 2008
Last updated in NPPESJanuary 6, 2010
Mailing address150 Southpark Blvd, Suite 102, St Augustine, FL 32086-5190

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