MEDICARE: SPM GROWTH SOLUTION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1770430589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPM GROWTH SOLUTION

Provider Business Mailing Address
First Line	:	6388 SILVER STAR RD STE 2C
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-3235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6388 SILVER STAR RD STE 2C
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-3235
Country	:	US
Telephone Number	:	407-490-0307
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KYLIE SMITH
Credential	:
Telephone Number	:	407-920-4016

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

Similar Medicare Providers

1386591105 — SPM GROWTH SOLUTION
Practice Location Address:

6388 SILVER STAR RD
ORLANDO, FL
32818-3235

Practice Phone: 407-490-0307
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1427008556 — IDLER BONHOMME LMT MPT
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1508817537 — PHYSIOTHERAPY PLUS INC
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6388 SILVER STAR RD STE 1E
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1861508285 — DR. VAHE NAZAR ZARIKIAN MD
Practice Location Address:

6388 SILVER STAR RD , SUITE 2D
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1346312436 — DR. HOWARD BLOUNT M.D.
Practice Location Address:

6388 SILVER STAR RD , SUITE 2G
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Directions to “SPM GROWTH SOLUTION ” Practice Location

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