MEDICARE: FLORIDA SPORTS MEDICINE & ORTHOPAEDICS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1326243528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA SPORTS MEDICINE & ORTHOPAEDICS PA

Provider Business Mailing Address
First Line	:	2428 JENKS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4304
Country	:	US
Telephone Number	:	850-763-0346
Fax Number	:	850-769-3736

Provider Business Practice Location Address
First Line	:	2428 JENKS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4304
Country	:	US
Telephone Number	:	850-763-0346
Fax Number	:	850-769-3736

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES MCGHEE TALKINGTON
Credential	:	M.D.
Telephone Number	:	850-763-0346

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	09/24/2010

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Directions to “FLORIDA SPORTS MEDICINE & ORTHOPAEDICS PA ” Practice Location

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