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

Sports Medicine Institute International LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1366884496

Sports Medicine Institute International LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 Don Wickham Dr
Clermont, FL 34711-1915
Phone: (352) 243-9700
Fax: (352) 243-5795
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 ME0037707 (FL)

Record details

NPI number1366884496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracee Ray — President · (352) 243-9700
NPI enumeratedJuly 17, 2013
Last updated in NPPESDecember 10, 2013
Mailing address1925 Don Wickham Dr, Clermont, FL 34711-1915

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