The Osteo Regenerative Clinic of South Florida, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THE OSTEO REGENERATIVE CLINIC OF SOUTH FLORIDA, LLC

Practice address

7775 SW 87TH Ave Ste 100
Miami, FL 33173-2536

Phone

(786) 579-0900

Fax

(773) 249-6662

NPI assigned

Aug 14, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jenelle Torres, MSN, ARNP, FNP-BC

Title

Owner

Phone

(786) 579-0900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1275189342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7775 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732536",
            "telephone_number": "786-579-0900",
            "fax_number": "773-249-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 SW 87TH AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732536",
            "telephone_number": "786-579-0900",
            "fax_number": "773-249-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OSTEO REGENERATIVE CLINIC OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-579-0900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, ARNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.