OrganizationActive
Florida Sports Medicine Institute Inc
NPI 1346341476 · Sports Medicine (Orthopaedic Surgery) Physician · St Augustine, FL
Provider details
- NPI number
- 1346341476
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Karen Haseltine, C.e.o.(904) 823-3764
- License
- ME93573 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
150 Southpark Blvd
Suite 102
St Augustine, FL 32086-5190
Phone: (904) 823-3764
Fax: (904) 429-0318
Approximate (ZIP-level) locationGet directions
Mailing address
150 Southpark Blvd
St Augustine, FL 32086-5190
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2017-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.