Organization
OSTEOPATHIC REGENERATIVE MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER GODDARD DO (OWNDER)
(305) 367-1176
Entity
Organization
Contact information
Practice address
3915 BISCAYNE BLVD STE 406, MIAMI, FL 33137-3737
(305) 367-1176
(877) 391-1611
Mailing address
3915 BISCAYNE BLVD STE 406, MIAMI, FL 33137-3737
(305) 367-1176
(877) 391-1611
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
OS10979
FL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS10979
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
OS10979
FL
2083S0010X
Sports Medicine (Preventive Medicine) Physician
OS10979
FL
2085U0001X
Diagnostic Ultrasound Physician
OS10979
FL
208VP0000X
Pain Medicine Physician
OS10979
FL
208VP0014X
Interventional Pain Medicine Physician
OS10979
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
FL
213ER0200X
Radiology Podiatrist
—
FL
213ES0000X
Sports Medicine Podiatrist
—
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
FL
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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