| Center For Health & Sports Medicine Llc | |
|
201 Village Oaks Dr Fruit Cove FL 32259-3876 | |
| (904) 240-0442 | |
| (904) 240-0471 |
| Full Name | Center For Health & Sports Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Village Oaks Dr, Fruit Cove, Florida |
| Authorized Official Name and Position | Ross Osborn (OWNER) |
| Authorized Official Contact | 9042400442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Health & Sports Medicine Llc 201 Village Oaks Dr Fruit Cove FL 32259-3876 Ph: (904) 240-0442 | Center For Health & Sports Medicine Llc 201 Village Oaks Dr Fruit Cove FL 32259-3876 Ph: (904) 240-0442 |
| NPI Number | 1386963932 |
|---|---|
| Provider Enumeration Date | 05/21/2010 |
| Last Update Date | 03/28/2025 |
| Medicare PECOS PAC ID | 0547392201 |
|---|---|
| Medicare Enrollment ID | O20100715000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386963932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | ME89577 (Florida) | Primary |
| Provider Name | Ross Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528042496 PECOS PAC ID: 8426038936 Enrollment ID: I20040724000054 |
| Provider Name | Robert P Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437116464 PECOS PAC ID: 8628226156 Enrollment ID: I20120907000146 |
| Provider Name | Sean N Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467643221 PECOS PAC ID: 8527206549 Enrollment ID: I20200827000535 |
| Provider Name | Krishna E White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861933038 PECOS PAC ID: 5092088484 Enrollment ID: I20210617000580 |
| Provider Name | David A Weinshel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033146055 PECOS PAC ID: 7113101262 Enrollment ID: I20240219003821 |
| Provider Name | Colin R Chaloupecky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922637800 PECOS PAC ID: 4385065564 Enrollment ID: I20241022001422 |