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

Orthopedic Surgery and Sports Med

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1982815650

Orthopedic Surgery and Sports Med is a Sports Medicine (Orthopaedic Surgery) Physician in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

1275 W Granada Blvd Ste 3B
Ormond Beach, FL 32174-8259
Phone: (386) 672-7850
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 ME53344 (FL)

Record details

NPI number1982815650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Cavanaugh — Billing Manager · (386) 274-5712
NPI enumeratedMay 24, 2007
Last updated in NPPESSeptember 10, 2007
Mailing address1275 W Granada Blvd, Suite 3b, Ormond Beach, FL 32174-8259

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