| Osteopathic Center, Llc | |
|
3915 Biscayne Blvd Ste 406 Miami FL 33137-3737 | |
| (305) 367-1176 | |
| (877) 391-0039 |
| Full Name | Osteopathic Center, Llc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 3915 Biscayne Blvd Ste 406, Miami, Florida |
| Authorized Official Name and Position | Kristopher Sean Goddard (MGRM) |
| Authorized Official Contact | 3053671176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osteopathic Center, Llc 3915 Biscayne Blvd Ste 406 Miami FL 33137-3737 Ph: (305) 367-1176 | Osteopathic Center, Llc 3915 Biscayne Blvd Ste 406 Miami FL 33137-3737 Ph: (305) 367-1176 |
| NPI Number | 1568883536 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568883536 | NPI | - | NPPES |
| 0054L | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | OS10979 (Florida) | Primary |
| 261Q00000X | Clinic/center | 1037 (Florida) | Secondary |
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