Healthcare Provider Details

I. General information

NPI: 1881066322
Provider Name (Legal Business Name): ORTHONOW BISCAYNE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 02/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6815 BISCAYNE BLVD STE 105
MIAMI FL
33138-6292
US

IV. Provider business mailing address

6815 BISCAYNE BLVD STE 105
MIAMI FL
33138-6292
US

V. Phone/Fax

Practice location:
  • Phone: 786-454-0892
  • Fax:
Mailing address:
  • Phone: 786-454-0892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURENT DREYFUSS
Title or Position: GENERAL MANAGER
Credential: D.O.
Phone: 954-336-7487