Healthcare Provider Details

I. General information

NPI: 1184075269
Provider Name (Legal Business Name): CENTRAL FLORIDA BONE AND JOINT INSTITUTE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2745 REBECCA LN
ORANGE CITY FL
32763-8333
US

IV. Provider business mailing address

2745 REBECCA LN
ORANGE CITY FL
32763-8333
US

V. Phone/Fax

Practice location:
  • Phone: 386-775-2012
  • Fax:
Mailing address:
  • Phone: 386-775-2012
  • Fax: 386-775-2013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIAN LEUNG
Title or Position: PRESIDENT
Credential:
Phone: 386-775-2012