Healthcare Provider Details

I. General information

NPI: 1700072535
Provider Name (Legal Business Name): BAPTIST HEALTH MEDICAL GROUP ORTHOPEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 02/02/2023
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 CAMPO SANO AVE SUITE 200
CORAL GABLES FL
33146-1174
US

IV. Provider business mailing address

6855 S RED RD STE 600
SOUTH MIAMI FL
33143-3518
US

V. Phone/Fax

Practice location:
  • Phone: 786-268-6200
  • Fax: 786-268-6279
Mailing address:
  • Phone: 786-662-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. MATTHEW ARSENAULT
Title or Position: VP OF FINANCE
Credential:
Phone: 786-662-1111