SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC
NPI 1366884496
Orthopaedic Surgery - Sports Medicine in Clermont, FL

Active since July 17, 2013
1925 DON WICKHAM DR, CLERMONT, FL 34711(352) 243-9700(352) 243-5795 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Orthopaedic Surgery
  • Sports Medicine

About SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC

This page provides the complete NPI Profile along with additional information for Sports Medicine Institute International Llc, a provider established in Clermont, Florida operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1366884496 assigned on July 2013. The practitioner's primary taxonomy code is 207XX0005X with license number ME0037707 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tracee Leiann Ray Rn (President)

NPI
1366884496 Verify this NPI
Provider Name
SPORTS MEDICINE INSTITUTE INTERNATIONAL LLC
Entity Type
Organization
Location Address
1925 DON WICKHAM DR CLERMONT, FL 34711
Location Phone
(352) 243-9700
Location Fax
(352) 243-5795
Mailing Address
1925 DON WICKHAM DR CLERMONT, FL 34711
Mailing Phone
(352) 243-9700
Mailing Fax
(352) 243-5795
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2013
Last Update Date
12-10-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
License No.
ME0037707
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACEE LEIANN RAY RN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(352) 243-9700

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine
1925 DON WICKHAM DR
CLERMONT, FL 34711
Specialist/Technologist (Athletic Trainer)
1925 DON WICKHAM DR
CLERMONT, FL 34711
Physical Medicine & Rehabilitation
1925 DON WICKHAM DR
CLERMONT, FL 34711
Specialist/Technologist (Athletic Trainer)
1925 DON WICKHAM DR
CLERMONT, FL 34711
Orthopaedic Surgery
1925 DON WICKHAM DR
CLERMONT, FL 34711
Orthopaedic Surgery (Hand Surgery)
1925 DON WICKHAM DR
CLERMONT, FL 34711
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1925 DON WICKHAM DR
CLERMONT, FL 34711
Orthopaedic Surgery
1925 DON WICKHAM DR
CLERMONT, FL 34711
Pain Medicine (Pain Medicine)
1925 DON WICKHAM DR
CLERMONT, FL 34711
Orthopaedic Surgery (Sports Medicine)
1925 DON WICKHAM DR
CLERMONT, FL 34711
Family Medicine (Sports Medicine)
1925 DON WICKHAM DR
CLERMONT, FL 34711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366884496, enumerated as an "organization" on July 17, 2013.

The provider is located at 1925 DON WICKHAM DR CLERMONT, FL 34711 and the phone number is (352) 243-9700.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.