Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Florida Memorial University

Organization Orthopaedic Surgery Physician · NPI 1619472644

Florida Memorial University is an Orthopaedic Surgery Physician in Miami Gardens, Florida. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

15800 NW 42nd Ave
Miami Gardens, FL 33054-6155
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1619472644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator · (972) 367-4845
Other names Florida Memorial Sports Medicine
NPI enumeratedMarch 30, 2018
Last updated in NPPESMarch 30, 2018
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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