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

Provident Orthopedic and Sports Medicine Center

Organization Orthopaedic Surgery Physician · NPI 1952750713

Provident Orthopedic and Sports Medicine Center is an Orthopaedic Surgery Physician in Ocoee, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

801 Marshall Farms Rd
Ocoee, FL 34761-3316
Phone: (407) 906-3621
Fax: (407) 614-3171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1952750713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Shuler — Manager · (920) 344-8665
Other names Provident; Provident
NPI enumeratedJune 11, 2016
Last updated in NPPESSeptember 14, 2024
Certification dateSeptember 14, 2024
Mailing address801 Marshall Farms Rd, Ocoee, FL 34761-3316

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