# THE OSTEO REGENERATIVE CLINIC OF SOUTH FLORIDA, LLC

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

## Provider details

- **NPI number:** 1275189342
- **Authorized official:** MRS. JENELLE TORRES MSN, ARNP, FNP-BC (OWNER)
- **Authorized official phone:** (786) 579-0900

## Contact information

- **Practice address:** 7775 SW 87TH AVE STE 100, MIAMI, FL 33173-2536
- **Practice address phone:** (786) 579-0900
- **Practice address fax:** (773) 249-6662
- **Mailing address:** 7775 SW 87TH AVE, MIAMI, FL 33173-2536
- **Mailing address phone:** (786) 579-0900
- **Mailing address fax:** (773) 249-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2019
- **Last updated:** 11/01/2019
