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Organization
SOUTH FLORIDA SPORTS AND PREVENTIVE MEDICINE INC
Active
Organization
SOUTH FLORIDA SPORTS AND PREVENTIVE MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO GUITEAU MD (PRESIDENT)
(516) 849-0072
Entity
Organization
Contact information
Practice address
14601 SW 29TH ST STE 109, MIRAMAR, FL 33027-4715
(954) 800-1991
(808) 731-8348
Mailing address
14601 SW 29TH ST STE 109, MIRAMAR, FL 33027-4715
(954) 800-1991
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
03/28/2019
Last updated
07/11/2023
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