Healthcare Provider Details

I. General information

NPI: 1225006455
Provider Name (Legal Business Name): AVENTURA ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20601 E DIXIE HWY SUITE 330
AVENTURA FL
33180-1540
US

IV. Provider business mailing address

PO BOX 801734
AVENTURA FL
33280-1734
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-5956
  • Fax: 786-923-3002
Mailing address:
  • Phone: 305-674-5956
  • Fax: 786-923-3002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME87610
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME87610
License Number StateFL

VIII. Authorized Official

Name: DR. BRAD KENNETH COHEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-674-5956