OSTEOPATHIC REGENERATIVE MEDICINE CENTER LLC NPI 1629564463

NPI Information

NPI: 1629564463
Provider Name: OSTEOPATHIC REGENERATIVE MEDICINE CENTER, LLC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
3915 BISCAYNE BLVD STE 406
MIAMI, FL
ZIP 33137
Phone: (305) 367-1176
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OSTEOPATHIC REGENERATIVE MEDICINE CENTER, LLC is a neuromusculoskeletal medicine sports medicine in Miami, FL. The provider is definition to come. OSTEOPATHIC REGENERATIVE MEDICINE CENTER, LLC NPI is 1629564463. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3915 BISCAYNE BLVD STE 406
MIAMI, FL
ZIP 33137-737
Phone: (305) 367-1176
Fax: (877) 391-1611

The provider's authorized official is Kristopher Goddard .
The authorized official title is Ownder and has the following contact phone number (305) 367-1176.

The enumeration date for this NPI number is 7/5/2018 and was last updated on 7/5/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204D00000X	Neuromusculoskeletal Medicine & OMM		OS10979	FLORIDA	No
2	207QS0010X	Family Medicine	Sports Medicine	OS10979	FLORIDA	No
3	2083S0010X	Preventive Medicine	Sports Medicine	OS10979	FLORIDA	No
4	2085U0001X	Radiology	Diagnostic Ultrasound	OS10979	FLORIDA	No
5	208VP0000X	Pain Medicine	Pain Medicine	OS10979	FLORIDA	No
6	208VP0014X	Pain Medicine	Interventional Pain Medicine	OS10979	FLORIDA	No
7	213EP1101X	Podiatrist	Primary Podiatric Medicine		FLORIDA	No
8	213ER0200X	Podiatrist	Radiology		FLORIDA	No
9	213ES0000X	Podiatrist	Sports Medicine		FLORIDA	No
10	213ES0103X	Podiatrist	Foot & Ankle Surgery		FLORIDA	No
11	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		OS10979	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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