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Organization
SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A.
Active
Organization
SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL A. HERRERA (CREDENTIALING COORDINATOR)
(305) 218-6965
Entity
Organization
Contact information
Practice address
220 SW 84TH AVE STE 102, PLANTATION, FL 33324-2729
(954) 720-1530
(954) 720-6540
Mailing address
220 SW 84TH AVE STE 102, PLANTATION, FL 33324-2729
(954) 349-2345
(954) 641-1086
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/26/2006
Last updated
09/24/2024
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