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AVENTURA ORTHOPEDICARE CENTER PA NPI 1104029081


NPI Information

NPI: 1104029081
Provider Name: AVENTURA ORTHOPEDICARE CENTER PA
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 10D2003968

Address:
21000 NE 28TH AVE STE 104
AVENTURA, FL
ZIP 33180
Phone: (305) 937-1999
Get Directions

AVENTURA ORTHOPEDICARE CENTER PA is an orthopaedic surgery in Aventura, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. AVENTURA ORTHOPEDICARE CENTER PA NPI is 1104029081. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21000 NE 28TH AVE STE 104
AVENTURA, FL
ZIP 33180-421
Phone: (305) 937-1999
Fax: (305) 931-2071

The provider's authorized official is Jennifer F Gonzalez .
The authorized official title is Administrator and has the following contact phone number (305) 933-0626.

The CLIA number assigned to this NPI record is 10D2003968 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 4/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
3207XX0005XOrthopaedic SurgerySports MedicineNo
4208100000XPhysical Medicine & RehabilitationNo
5207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
139355MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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