Organization
ORTHOPAEDIC & SPORTS MEDICINE CENTER OF MIAMI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BOCKMAN (MANAGER)
(305) 661-7601
Entity
Organization
Contact information
Practice address
6701 SUNSET DR, SUITE 201, SOUTH MIAMI, FL 33143-4529
(305) 661-7601
(305) 661-0154
Mailing address
PO BOX 430430, SOUTH MIAMI, FL 33243-0430
(305) 661-7601
(305) 661-0154
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME58988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000623
NEIGHBORHOOD HEALTH PLAN
FL
01
—
1024417
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
1033255641
CIGNA
FL
01
—
159502800
US DEPARTMENT OF LABOR
FL
01
—
209485
AVMED
FL
01
—
2316780
UNITED HEALTHCARE
FL
01
—
39759
BLUE SHIELD
FL
01
—
7890258
AETNA
FL
Enumeration date
01/30/2007
Last updated
10/31/2013
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