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

Osteopathic Regenerative Medicine Center, LLC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1629564463

Osteopathic Regenerative Medicine Center, LLC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
11
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3915 Biscayne Blvd Ste 406
Miami, FL 33137-3737
Phone: (305) 367-1176
Fax: (877) 391-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence OS10979 (FL)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence OS10979 (FL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence OS10979 (FL)
Sports Medicine (Preventive Medicine) Physician Taxonomy 2083S0010X · Licence OS10979 (FL)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence OS10979 (FL)
Pain Medicine Physician Taxonomy 208VP0000X · Licence OS10979 (FL)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence OS10979 (FL)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X (FL)
Radiology Podiatrist Taxonomy 213ER0200X (FL)
Sports Medicine Podiatrist Taxonomy 213ES0000X (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X (FL)

Record details

NPI number1629564463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristopher Goddard — Ownder · (305) 367-1176
NPI enumeratedJuly 5, 2018
Last updated in NPPESJuly 5, 2018
Mailing address3915 Biscayne Blvd Ste 406, Miami, FL 33137-3737

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