Organization · NPI-2

3d Sports Medicine & Joint Center, INC.

Orthopaedic Surgery · Melbourne, FL

NPI number1316351372
StatusActive
Last updated in NPPESMar 19, 2025

Details

NPI
1316351372
Entity type
Organization (NPI-2)
Legal business name
3d Sports Medicine & Joint Center, INC.
Organization subpart
No
Enumeration date
Jun 18, 2014
Certification date
Mar 19, 2025
Last updated
Mar 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic SurgeryME110378FLYes
207XX0005X Orthopaedic Surgery, Sports MedicineME110378FL

Other names

  • 3d Sports Medicine & Orthopaedic Center (Doing Business As)

Practice location

640 Classic Ct Ste 104
Melbourne, FL 32940-8279

Phone 321-610-8939 · Fax 321-622-8728

Mailing address

640 Classic Ct Ste 104
Melbourne, FL 32940-8279

Phone 321-610-8939 · Fax 321-622-8728

Other practice locations

141 Coconut Dr
Indialantic, FL 32903-2607

Phone 321-610-8939 · Fax 321-622-8728

2245 S Babcock St
Melbourne, FL 32901

Phone 321-610-8939 · Fax 321-622-8728

Authorized official

David E Dominguez
Owner
3216108939

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthopaedic Surgery providers in Melbourne, FL