Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Florida Sports Medicine Institute Inc

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1346341476

Florida Sports Medicine Institute Inc provides Sports Medicine (Orthopaedic Surgery) Physician services in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 Southpark Blvd Ste 102
St Augustine, FL 32086-5190
Phone: (904) 823-3764
Fax: (904) 429-0318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence OS7217 (FL)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence ME93573 (FL)

Record details

NPI number1346341476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Haseltine — C.E.O. · (904) 823-3764
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJanuary 5, 2017
Mailing address150 Southpark Blvd, Suite 102, St Augustine, FL 32086-5190

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