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NPI Code Detail

MEDICARE: INSTITUTE OF REGENERATIVE ORTHOPEDICS AND SPORTS MEDICINE LLC

MEDICARE: INSTITUTE OF REGENERATIVE ORTHOPEDICS AND SPORTS MEDICINE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1972475028
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSTITUTE OF REGENERATIVE ORTHOPEDICS AND SPORTS MEDICINE LLC
Provider Business Mailing Address
First Line : 3333 W COMMERCIAL BLVD STE 101
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-3424
Country : US
Telephone Number : 954-751-6990
Fax Number : 954-751-6991
Provider Business Practice Location Address
First Line : 3333 W COMMERCIAL BLVD STE 101
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-3424
Country : US
Telephone Number : 954-751-6990
Fax Number : 954-751-6991
Authorized Official
Title or Position : PRESIDENT
Name : DR. JORGE ANTONIO GONZALEZ JR.
Credential :
Telephone Number : 786-566-0338
Provider Enumeration Date : 09/18/2025
Last Update Date : 09/18/2025

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Practice Fax: 954-751-6991

Directions to “INSTITUTE OF REGENERATIVE ORTHOPEDICS AND SPORTS MEDICINE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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