Healthcare Provider Details

I. General information

NPI: 1316709702
Provider Name (Legal Business Name): RN BIOMED RESAERCH INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 N OCEAN BLVD STE C112
FT LAUDERDALE FL
33308-7314
US

IV. Provider business mailing address

3015 N OCEAN BLVD STE C112
FT LAUDERDALE FL
33308-7314
US

V. Phone/Fax

Practice location:
  • Phone: 954-864-6401
  • Fax:
Mailing address:
  • Phone: 954-864-6401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OSVALDO S MARTINEZ
Title or Position: MANAGER
Credential: MBA
Phone: 954-864-6401