{"npi":"1194303487","type":"NPI-2","status":"active","name":{"display":"Institute Of Regenerative Orthopedics And Sports Medicine LLC","other":[],"organization_name":"INSTITUTE OF REGENERATIVE ORTHOPEDICS AND SPORTS MEDICINE LLC","authorised_official":"Jorge Gonzalez"},"specialty":{"primary_taxonomy":"207RS0010X","primary_taxonomy_description":"Sports Medicine (Internal Medicine) Physician","slug":"sports-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207RS0010X","description":"Sports Medicine (Internal Medicine) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3333 W COMMERCIAL BLVD STE 101","city":"FORT LAUDERDALE","state":"FL","postal_code":"333093424","country_code":"US","phone":"7865660338"},{"purpose":"MAILING","street_1":"1441 NE 54TH ST","city":"FORT LAUDERDALE","state":"FL","postal_code":"333344932","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"017619600","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20220216001076","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"7012300015"}]},"enumeration_date":"2021-03-30","last_updated":"2022-02-21","_meta":{"source":"NPPES","snapshot_date":"2022-02-21","doc_url":"https://findmynpi.com/api"}}