Healthcare Provider Details

I. General information

NPI: 1780648089
Provider Name (Legal Business Name): COMBINED MEDICAL SERVICES GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 GENE ST
WINTER PARK FL
32789-4840
US

IV. Provider business mailing address

1455 GENE ST
WINTER PARK FL
32789-4840
US

V. Phone/Fax

Practice location:
  • Phone: 407-622-7200
  • Fax: 407-622-7528
Mailing address:
  • Phone: 407-622-7200
  • Fax: 407-622-7528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberPOR52
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberPOR52
License Number StateFL

VIII. Authorized Official

Name: MR. STEVEN JOHN SMITH
Title or Position: PRESIDENT
Credential: BS CPO
Phone: 407-622-7200