# AVENTURA ORTHOPEDICARE CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104029081
- **Authorized official:** JENNIFER F GONZALEZ (ADMINISTRATOR)
- **Authorized official phone:** (305) 933-0626

## Contact information

- **Practice address:** 21000 NE 28TH AVE STE 104, AVENTURA, FL 33180-1421
- **Practice address phone:** (305) 937-1999
- **Practice address fax:** (305) 931-2071
- **Mailing address:** 21000 NE 28TH AVE STE 104, AVENTURA, FL 33180-1421
- **Mailing address phone:** (305) 937-1999
- **Mailing address fax:** (305) 931-2071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 04/13/2015