Poovendran Regenerative Orthopedic Institute

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

POOVENDRAN REGENERATIVE ORTHOPEDIC INSTITUTE

Doing business as

Pro Institute

Practice address

10650 W State Road 84 Ste 111
Davie, FL 33324-4235

Phone

(305) 209-1951

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gayan Poovendran, MDNPI 1083935100

Title

Owner/Medical Director

Phone

(305) 209-1951

Specialties & licenses 1

Addresses

Other names 1

• Pro Institute Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gayan Poovendran, MD

  • Sports Medicine (Family Medicine) Physician
  • Davie, FL
  • NPI 1083935100
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1457139974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84 STE 111",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "305-209-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84 STE 111",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "305-209-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOVENDRAN REGENERATIVE ORTHOPEDIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "POOVENDRAN",
        "authorized_official_first_name": "GAYAN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-209-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Pol Rodriguez
• Ricardo Enrique Polo Jr.
• Patricia Pomareda, NP
• Cristhian Rodrigo Ponce Barranco
• Maria Angela Pontillo, PT
• Gayan Poovendran, MD
• Pop ABA LLC
• Sarah Jayne Popish, PHARM.D.
• Camila Porras
• Jessenia Porras

• Medical Specialty Clinic/Center in Davie, FL
• Providers in Davie, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.