Healthcare Provider Details

I. General information

NPI: 1023974508
Provider Name (Legal Business Name): BITTANE INNOVATION GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21050 POINT PL APT 2705
AVENTURA FL
33180-4083
US

IV. Provider business mailing address

21050 POINT PL APT 2705
AVENTURA FL
33180-4083
US

V. Phone/Fax

Practice location:
  • Phone: 516-655-2724
  • Fax:
Mailing address:
  • Phone: 516-655-2724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROI BITTANE
Title or Position: CEO
Credential: MD
Phone: 516-655-2724