FLORIDA MEMORIAL SPORTS MEDICINE
NPI 1619472644
Orthopaedic Surgery in Miami Gardens, FL
NPI Status: Active since March 30, 2018
Contact Information
15800 NW 42ND AVE
MIAMI GARDENS, FL
ZIP 33054
Phone: (972) 367-4845
- Organization
- Orthopaedic Surgery
- CLIA Number: 10D2235342
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 09-07-2025
About FLORIDA MEMORIAL SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Florida Memorial Sports Medicine, a provider established in Miami Gardens, Florida operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1619472644 assigned on March 2018. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Florida Memorial Sports Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Florida Memorial Sports Medicine. The authorized official of this NPI record is Mouzon Bass Iii (Administrator)
- NPI
- 1619472644
- Provider Legal Name
- FLORIDA MEMORIAL UNIVERSITY
- Other Organization Name
- FLORIDA MEMORIAL SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 15800 NW 42ND AVE MIAMI GARDENS, FL 33054
- Location Phone
- (972) 367-4845
- Mailing Address
- 5050 SPRING VALLEY RD DALLAS, TX 75244
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-30-2018
- Last Update Date
- 03-30-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2235342
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 08, 2023
- Certificate Expiration Date
- September 07, 2025
- Laboratory Director
- NONA R. BROWN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Florida Memorial Sports Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 4 | 7 | 2 | 6 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 8 | 7 | 4 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 8 + 7 + 4 + 6 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1619472644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
HAMID AJIRNIA
Specialist/Technologist
(Athletic Trainer)
15800 NW 42ND AVE
OPA LOCKA, FL
ZIP 33054
TAMARA JACOB
Specialist/Technologist
(Athletic Trainer)
15800 NW 42ND AVE
MIAMI GARDENS, FL
ZIP 33054
GRETEL ANN BRIAND LAT, ATC
Specialist/Technologist
(Athletic Trainer)
15800 NW 42ND AVE
MIAMI GARDENS, FL
ZIP 33054
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
Clinic/Center
(Federally Qualified Health Center (FQHC))
15800 NW 42ND AVE
MIAMI GARDENS, FL
ZIP 33054
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619472644, enumerated as an "organization" on March 30, 2018.
The provider is located at 15800 NW 42ND AVE MIAMI GARDENS, FL 33054 and the phone number is (972) 367-4845.
Orthopaedic Surgery with taxonomy code 207X00000X.
