SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE P.A. NPI 1053726612

NPI Information

  • NPI: 1053726612
  • Provider Name: SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 7310 W MCNAB RD STE 107
    TAMARAC, FL
    ZIP 33321
  • Phone: (954) 718-2230

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NPI Details

SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A. is a primary care clinic center in Tamarac, FL. SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A. NPI is 1053726612. The provider is registered as an organization entity type.

The provider's business location address is:

7310 W MCNAB RD STE 107
TAMARAC, FL
ZIP 33321-327
Phone: (954) 718-2230
Fax: (954) 718-2232

The provider's authorized official is Ronaldo A Calonje .
The authorized official title is Physician / Owner and has the following contact phone number (954) 718-2230.

The enumeration date for this NPI number is 6/23/2014 and was last updated on 1/13/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME95141FLORIDAYes

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: 3/30/2025

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