Healthcare Provider Details

I. General information

NPI: 1457937005
Provider Name (Legal Business Name): BAPTIST HEALTH MEDICAL GROUP ORTHOPEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 ALTON RD STE 440
MIAMI BEACH FL
33139-5521
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 786-662-0600
  • Fax: 786-533-9419
Mailing address:
  • Phone: 786-662-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW ARSENAULT
Title or Position: CFO
Credential:
Phone: 786-662-7111