Organization
AVENTURA ORTHOPEDICARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER F GONZALEZ (ADMINISTRATOR)
(305) 933-0626
Entity
Organization
Contact information
Practice address
21000 NE 28TH AVE STE 104, AVENTURA, FL 33180-1421
(305) 937-1999
(305) 931-2071
Mailing address
21000 NE 28TH AVE STE 104, AVENTURA, FL 33180-1421
(305) 937-1999
(305) 931-2071
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
06/07/2007
Last updated
04/13/2015
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