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General NPI Number Information
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NPI Number | 1558438036
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Entity Type | Organization
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Legal Business Name | CELEBRATION ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE INC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2954 MALLORY CIR STE 101
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City | CELEBRATION
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State | FL
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Zip | 34747-1822
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Country | US
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Telephone | 321-939-0222
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Fax | 321-939-0225
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Provider Business Mailing Address
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Address Line | 2954 MALLORY CIR STE 101
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City | CELEBRATION
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State | FL
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Zip | 34747-1820
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Country | US
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Telephone | 321-939-0222
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Fax | 321-939-0225
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. STEVE WELKER
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Credential | MBA
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Telephone | 321-939-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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