FLORIDA SPORTS MEDICINE INSTITUTE INC (NPI# 1467621003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467621003 |
| Entity Type | Organization |
| Organization Name | FLORIDA SPORTS MEDICINE INSTITUTE INC |
| Practice Address |
4131 University Blvd S Suite 15 Jacksonville FL 32216-4326 |
| Mailing Address |
150 Southpark Blvd Suite 102 St Augustine FL 32086-5190 |
| Practice Telephone | 9048544587 |
| Practice Fax Number | 9044290318 |
| Mailing Telephone | 9048233764 |
| Mailing Fax Number | 9044290318 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | MS. KAREN LYNN HASELTINE (CEO) |
| Authorized Official Telephone | 9048233764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
OS7217 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346341476 | Florida Sports Medicine Institute Inc | Orthopaedic Surgery | 150 Southpark Blvd, Suite 102, St Augustine, FL 32086-5190 | 2006-09-25 |
| Street Address |
4131 UNIVERSITY BLVD S SUITE 15 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770873 | North Florida Medical Associates, Inc. | Family Medicine | 4131 University Blvd S, #8, Jacksonville, FL 32216-4326 | 2005-09-15 |
| 1316556517 | Elizabeth Anne Davis | Case Manager/Care Coordinator | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2020-07-24 |
| 1376168609 | Candice Cobb | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2020-06-12 |
| 1114549839 | Walter Mcclinton | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2020-05-15 |
| 1679105704 | David Paul Young | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2020-02-06 |
| 1679112692 | Arlisa Renee Williams | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-12-23 |
| 1174168041 | Sydne M Hennings | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-11-14 |
| 1477198679 | Jaime Bonanno Rosado | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-11-12 |
| 1003450875 | Angela Nicole Brown | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-11-04 |
| 1619520467 | Christopher Black | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
| 1215029640 | Robert S Franco | Orthopaedic Surgery | 2054 Riverside Ave, Apt. #5207, Jacksonville, FL 32204-4428 | 2006-09-30 |
| 1326647504 | Ortho One Jacksonville | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2020-10-20 |
| 1811472152 | Ortho One | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-10-02 |
| 1376896522 | Physicians Group Services Pa | Orthopaedic Surgery | 3627 University Blvd S, Suite 435, Jacksonville, FL 32216-4230 | 2012-10-24 |
| 1629378005 | Young Orthopaedics & Sports Medicine, Pa | Orthopaedic Surgery | 9191 R.g. Skinner Parkway, Suite 703, Jacksonville, FL 32256-9662 | 2010-11-01 |
| 1619013851 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 1325 San Marco Blvd, Suite 200, Jacksonville, FL 32207-8568 | 2007-01-29 |
| 1306875422 | Georges Abdo El Bahri | Orthopaedic Surgery | 6100 Kennerly Rd, Suite 101, Jacksonville, FL 32216-4368 | 2006-07-01 |
| 1629025820 | Southeast Orthopedic Specialists, Inc. | Orthopaedic Surgery | 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204-4712 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1770004152 | Ortho Florida, LLC | Orthopaedic Surgery | 9195 Sunset Dr Ste 100, Miami, FL 33173-3488 | 2017-07-06 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on FLORIDA SPORTS MEDICINE INSTITUTE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.