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SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA P.A. NPI 1487624771


NPI Information

NPI: 1487624771
Provider Name: SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1600 TOWN CENTER CIR STE C
WESTON, FL
ZIP 33326
Phone: (954) 389-5900
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SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A. is an orthopaedic surgery in Weston, FL. The provider is 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. SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A. NPI is 1487624771. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 TOWN CENTER CIR STE C
WESTON, FL
ZIP 33326-641
Phone: (954) 389-5900
Fax: (954) 389-5751

The provider's authorized official is Chrystal A. Herrera .
The authorized official title is Credentialing Coordinator and has the following contact phone number (305) 218-6965.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 9/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand SurgeryNo
2207XX0005XOrthopaedic SurgerySports MedicineNo
3208100000XPhysical Medicine & RehabilitationNo
4363A00000XPhysician AssistantNo
5207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002398700OTHERFLORIDAMEDICAID - ALEXANDER J. BERTOT, M.D.
2002876700MEDICAIDFLORIDA
329261ZOTHERFLORIDAMEDICARE ID - ALEXANDER J BERTOT, MD
4H63602OTHERFLORIDAMEDICARE UPIN - ALEXANDER J BERTOT, MD
5P99418OTHERFLORIDAMEDICARE UPIN - ERIC BRONSON, PA-C
6020871700OTHERFLORIDAMEDICAID - REBECCA I. URRUTIA, PA-C
7021691600OTHERFLORIDAMEDICAID - FRANZ S. JONES, D.O.
8U1464ZOTHERFLORIDAMEDICARE ID - ERIC BRONSON, PA-C
9002462700OTHERFLORIDAMEDICAID - DAVID SHENASSA, M.D.
10E4002YOTHERFLORIDAMEDICARE ID - FERNANDO A MOYA, MD
11002602400OTHERFLORIDAMEDICAID - ERIC D. BRONSON, PA-C
12002603000OTHERFLORIDAMEDICAID - PAUL R. BUCHANAN, PA-C
1327195ZOTHERFLORIDAMEDICARE ID - ALFRED A DESIMONE, MD
14DD524ZOTHERMEDICARE - DAVID SHENASSA, M.D.
15IK262ZOTHERFLORIDAMEDICARE ID - SYDNEE R. BRIN, PA-C
16U1394ZOTHERFLORIDAMEDICARE ID - PAUL R BUCHANAN, PA-C
17F84646OTHERFLORIDAMEDICARE UPIN ALFRED A DESIMONE, MD
18JC559ZOTHERFLORIDAMEDICARE ID - FRANZ S. JONES, D.O.
19H14009OTHERFLORIDAMEDICARE UPIN - FERNANDO A MOYA, MD
20P98729OTHERFLORIDAMEDICARE UPIN - PAUL R BUCHANAN, PA-C
21002610900OTHERFLORIDAMEDICAID - FERNANDO A. MOYA-HUFF, M.D., PH.D.
22ET212XOTHERFLORIDAMEDICARE ID - KAY-ANN L. MULLINGS, PA-C
23K0493OTHERFLORIDAMEDICARE GROUP ID
24002615000OTHERFLORIDAMEDICAID - ALFRED A. DESIMONE, M.D.
25DC9475OTHERFLORIDARR MEDICARE - GROUP
26IZ043ZOTHERFLORIDAMEDICARE ID - REBECCA I. URRUTIA, PA-C

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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