OrganizationActive
Orthopedic Center for Sports Medicine
NPI 1831521756 · Orthopaedic Surgery Physician · Davenport, FL
Provider details
- NPI number
- 1831521756
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Mathis, Administrator(863) 421-7411
- License
- ME72924 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Park Place Blvd
Suite a
Davenport, FL 33837-6858
Phone: (863) 421-7411
Fax: (863) 547-9514
Street-level locationGet directions
Mailing address
105 Park Place Blvd
Davenport, FL 33837-6858
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2016-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.