Organization
POOVENDRAN REGENERATIVE ORTHOPEDIC INSTITUTE
Active
Other names
Pro Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYAN POOVENDRAN MD (OWNER/MEDICAL DIRECTOR)
(305) 209-1951
Entity
Organization
Contact information
Practice address
10650 W STATE ROAD 84 STE 111, DAVIE, FL 33324-4235
(305) 209-1951
Mailing address
10650 W STATE ROAD 84 STE 111, DAVIE, FL 33324-4235
(305) 209-1951
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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