Central Florida Sports Medicine & Orthopaedic Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME69853 Issued in FL

Legal business name

CENTRAL FLORIDA SPORTS MEDICINE & ORTHOPAEDIC CENTER

Practice address

1649 W Eau Gallie Blvd
Suite 201
Melbourne, FL 32935-4160

Phone

(321) 255-9310

Fax

(321) 752-5218

NPI assigned

Jul 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Valora Gurganious

Title

Office Manager

Phone

(321) 255-9310

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Le Roy Gurganious, M.D.

  • Orthopaedic Surgery Physician
  • Fayetteville, TN
  • NPI 1710097290

  Orthopaedic Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1265622203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 W EAU GALLIE BLVD",
            "address_2": "SUITE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354160",
            "telephone_number": "321-255-9310",
            "fax_number": "321-752-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 W EAU GALLIE BLVD",
            "address_2": "SUITE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354160",
            "telephone_number": "321-255-9310",
            "fax_number": "321-752-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA SPORTS MEDICINE & ORTHOPAEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "GURGANIOUS",
        "authorized_official_first_name": "VALORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-255-9310",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME69853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Florida Radiology LLC
• Central Florida Spine and Pain LLC
• Central Florida Wellness LLC
• Century Oaks Serenity, LLC
• Michael J Ceranowski, PA-C, CAA
• Jefferey Cesare, MD
• Chace Dental PL

• All providers in Melbourne, FL
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.