Healthcare Provider Details
I. General information
NPI: 1053771725
Provider Name (Legal Business Name): ORTHO INVESTMENTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2016
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1761 CORAL WAY
MIAMI FL
33145
US
IV. Provider business mailing address
1761 CORAL WAY
MIAMI FL
33145
US
V. Phone/Fax
- Phone: 786-907-4357
- Fax: 305-675-2668
- Phone: 786-907-4357
- Fax: 786-353-9122
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PS0010X |
| Taxonomy | Sports Medicine (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEJANDRO
BADIA
Title or Position: OWNER
Credential:
Phone: 305-227-4263