OrganizationActive
Provident Orthopedic and Sports Medicine Center
NPI 1952750713 · Orthopaedic Surgery Physician · Ocoee, FL
Provider details
- NPI number
- 1952750713
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Shuler, Manager(920) 344-8665
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
801 Marshall Farms Rd
Ocoee, FL 34761-3316
Phone: (407) 906-3621
Fax: (407) 614-3171
Street-level locationGet directions
Mailing address
801 Marshall Farms Rd
Ocoee, FL 34761-3316
Other names (DBA / former)
- Other name
- Provident
- Other name
- Provident
Registry dates
- Enumerated
- 2016-06-11
- Last updated
- 2024-09-14
- Certified
- 2024-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.