FLORIDA MEMORIAL UNIVERSITY (NPI# 1619472644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619472644 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEMORIAL UNIVERSITY |
| Other Organization Name | FLORIDA MEMORIAL SPORTS MEDICINE |
| Practice Address |
15800 Nw 42nd Ave Miami Gardens FL 33054-6155 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Memorial Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA MEMORIAL UNIVERSITY, INC. | 15800 N W 42nd Ave, Miami Gardens, FL 33054-6155 |
| Street Address |
15800 NW 42ND AVE |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33054-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760644397 | Jessie Trice Community Health System Inc | Clinic/Center | 15800 Nw 42nd Ave, Miami Gardens, FL 33054-6155 | 2008-06-25 |
| 1790318673 | Gretel Ann Briand | Specialist/Technologist | 15800 Nw 42nd Ave, Miami Gardens, FL 33054-6155 | 2020-02-19 |
| 1518503788 | Tamara Jacob | Specialist/Technologist | 15800 Nw 42nd Ave, Miami Gardens, FL 33054-6155 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770148611 | Arc Dialysis North Dade LLC | Clinic/Center | 1986 Opa Locka Blvd, Opa Locka, FL 33054 | 2019-05-07 |
| 1497215735 | Empowering Minds, Inc | Community/Behavioral Health | 13311 Alexandria Dr, Opa Locka, FL 33054 | 2019-03-22 |
| 1366976672 | Center for Family and Child Enrichment Inc. | Community/Behavioral Health | 3999 Northwest 163st, Miami, FL 33054 | 2017-04-13 |
| 1861924748 | Yudeslanni Fernandez Lang | Behavior Technician | 2970 Nw 161 St, Miami, FL 33054 | 2017-03-30 |
| 1811439862 | Ana Alfaro | Behavior Technician | 1155 Kasin St, Opa Locka, FL 33054 | 2016-11-08 |
| 1114376795 | Yanelis Diaz Rodriguez | Behavior Technician | 13920 Nw 22nd Pl, Opa Locka, FL 33054 | 2016-06-06 |
| 1912392986 | Angel Yasiel Ramos | Internal Medicine | 1986 Opa-locka Boulevard, Opa-locka, FL 33054 | 2015-04-06 |
| 1992109409 | Taylor Wilmoth | Specialist/Technologist | 15600 Nw 32nd Avenue, Attn: Taylor Wilmoth, Miami, FL 33054 | 2014-10-13 |
| 1265844997 | J.s Rx Inc | Pharmacy | 1970 Opa Locka Blvd, Opa Locka, FL 33054 | 2014-05-29 |
| 1689877508 | Nuevo Renacer Alf,corp. | Assisted Living Facility | 540 N. Perviz Avenue, Opa Locka, FL 33054 | 2007-06-07 |
| Find all providers in zip 33054 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1306451778 | Daniel Alfonso Moreno | Orthopaedic Surgery | 7622 Sw 129th Pl, Miami, FL 33183-4251 | 2020-09-13 |
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33054 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.