OSTEOPATHIC CENTER, LLC (NPI# 1568883536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568883536 |
| Entity Type | Organization |
| Organization Name | OSTEOPATHIC CENTER, LLC |
| Practice Address |
3915 Biscayne Blvd Ste 406 Miami FL 33137-3737 |
| Practice Telephone | 3053671176 |
| Practice Fax Number | 8773910039 |
| Mailing Telephone | 3053671176 |
| Mailing Fax Number | 8773910039 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | KRISTOPHER SEAN GODDARD (MGRM) |
| Authorized Official Telephone | 3053671176 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
OS10979 | FL | Allopathic & Osteopathic Physicians |
| Y | 261Q00000X | Clinic/Center | 1037 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 0054L | 01 |
| Street Address |
3915 BISCAYNE BLVD STE 406 |
| City | MIAMI |
| State | FL |
| Zip Code | 33137-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034861 | Mariana Viera-navarro | Physician Assistant | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2005-06-27 |
| 1881250363 | Benjamin Kosubevsky | Family Medicine | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2019-05-10 |
| 1629564463 | Osteopathic Regenerative Medicine Center, LLC | Neuromusculoskeletal Medicine & OMM | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2018-07-05 |
| 1568853380 | Joanna Torrens | Physical Medicine & Rehabilitation | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2015-02-16 |
| 1295140085 | Jesse Alan Morse | Family Medicine | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2014-06-30 |
| 1780910364 | Kristopher Joseph Sean Goddard | Family Medicine | 3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737 | 2009-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225524994 | Md Now Medical Centers Inc | Clinic/Center | 2310 Biscayne Blvd, Miami, FL 33137 | 2018-07-06 |
| 1851837629 | Cristina De Toro | Case Manager/Care Coordinator | 3550 Biscayne Blvd #508, Borinquen Medical Centers, Miami, FL 33137 | 2017-01-17 |
| 1780035907 | Freida Figueredo | Behavior Technician | 225 Ne 23rd St Apt 1205, Miami, FL 33137 | 2016-06-29 |
| 1740639152 | Mhb Consultants | Early Intervention Provider Agency | 225 Ne 23st #1205, Miami, FL 33137 | 2016-06-07 |
| 1558788836 | Ieshy Soley Pereira | Dentist | 350 Ne 24 St, #105, Miami, FL 33137 | 2014-03-25 |
| 1740619634 | Bay Point Medical Center, LLC | Emergency Medical Technician, Basic | 4770 Biscayne Boulevard, Suite 150, Miami, FL 33137 | 2013-11-01 |
| 1497007173 | 54th Street Medical Plaza Inc | Pediatrics | 5305 N.e. 2nd Avenue, Miami, FL 33137 | 2012-10-05 |
| 1760756225 | Variety Children's Hospital | Clinic/Center | 12246 Miramar Parkway, Miramar, FL 33137 | 2012-03-01 |
| 1912284902 | Fernando S Roy | Pharmacist | 480 N.e. 30 St, Unit 801, Miami, FL 33137 | 2011-11-04 |
| 1437456688 | Inner Reflection Therapy Center P.a. | Counselor | 2125 Biscayne Boulevard, Suite 550, Maimi, FL 33137 | 2011-02-24 |
| Find all providers in zip 33137 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1598371064 | Orive Physician Services Pa | Clinic/Center | 7235 Sw 39th St, Miami, FL 33155-6615 | 2020-09-21 |
| 1174139745 | The Fidelity Health Care Group Florida, LLC | Clinic/Center | 1065 Sw 8th St Unit 135, Miami, FL 33130-3601 | 2020-09-19 |
| 1972117224 | Beautiful Minds Medical Center LLC | Clinic/Center | 11045 Sw 216th Street, Unit 6, Miami, FL 33170 | 2020-09-03 |
| 1912510751 | Abc Health Care Services LLC | Clinic/Center | 175 Fontainebleau Blvd # 2a2, Miami, FL 33172-7018 | 2020-08-30 |
| 1952914517 | Therapy Unlimited Miami | Clinic/Center | 792 Nw 123rd Ct, Miami, FL 33182-2429 | 2020-08-24 |
| 1801405170 | Blue Medical Center Corp | Clinic/Center | 7805 Sw 24th St Ste 129, Miami, FL 33155-6553 | 2020-07-23 |
| 1407473820 | Caremax Medical Center of Westchester, L.L.C. | Clinic/Center | 8755 Sw 24th St, Miami, FL 33165-2005 | 2020-07-01 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.