# SOFIA A. FUNES, DO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctora Sofia's Osteopathic Sports Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710683438
- **Authorized official:** DR. SOFIA A FUNES DO (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (352) 615-2950

## Contact information

- **Practice address:** 5961 N FALLS CIRCLE DR APT 401, LAUDERHILL, FL 33319-6818
- **Practice address phone:** (352) 615-2950
- **Mailing address:** 5961 N FALLS CIRCLE DR APT 401, LAUDERHILL, FL 33319-6818
- **Mailing address phone:** (352) 615-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/03/2023
- **Last updated:** 02/03/2023