3D SPORTS MEDICINE AND ORTHOPAEDIC CENTER
NPI 1972042257
Clinic/Center - Medical Specialty in Indian Harbour Beach, FL
- Organization
- Clinic/Center
- Medical Specialty
About 3D SPORTS MEDICINE AND ORTHOPAEDIC CENTER
This page provides the complete NPI Profile along with additional information for 3d Sports Medicine And Orthopaedic Center, a provider established in Indian Harbour Beach, Florida operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1972042257 assigned on February 2017. The practitioner's primary taxonomy code is 261QM2500X with license number AL4490 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Brandon Hudnall Lat, Atc (Athletic Trainer/physician Extender)
- NPI
- 1972042257 Verify this NPI
- Provider Name
- 3D SPORTS MEDICINE AND ORTHOPAEDIC CENTER
- Entity Type
- Organization
- Location Address
- 2194 HIGHWAY A1A STE 104 INDIAN HARBOUR BEACH, FL 32937
- Location Phone
- (321) 610-8939
- Mailing Address
- 2231 HAMPTON GREEN BLVD APT 105 MELBOURNE, FL 32935
- Mailing Phone
- (540) 250-3085
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2017
- Last Update Date
- 02-20-2017
- Code Navigator
Location Map
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
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- AL4490
- License State
- FL
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972042257, enumerated as an "organization" on February 20, 2017.
The provider is located at 2194 HIGHWAY A1A STE 104 INDIAN HARBOUR BEACH, FL 32937 and the phone number is (321) 610-8939.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
