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

Orthopedic Center for Sports Medicine

Organization Orthopaedic Surgery Physician · NPI 1831521756

Orthopedic Center for Sports Medicine is an Orthopaedic Surgery Physician in Davenport, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

105 Park Place Blvd Ste A
Davenport, FL 33837-6858
Phone: (863) 421-7411
Fax: (863) 547-9514
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME72924 (FL)

Record details

NPI number1831521756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Mathis — Administrator · (863) 421-7411
NPI enumeratedAugust 1, 2013
Last updated in NPPESJanuary 19, 2016
Mailing address105 Park Place Blvd, Suite A, Davenport, FL 33837-6858

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