# SOUTH FLORIDA SPORTS AND PREVENTIVE MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790246148
- **Authorized official:** DR. SERGIO GUITEAU MD (PRESIDENT)
- **Authorized official phone:** (516) 849-0072

## Contact information

- **Practice address:** 14601 SW 29TH ST STE 109, MIRAMAR, FL 33027-4715
- **Practice address phone:** (954) 800-1991
- **Practice address fax:** (808) 731-8348
- **Mailing address:** 14601 SW 29TH ST STE 109, MIRAMAR, FL 33027-4715
- **Mailing address phone:** (954) 800-1991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2019
- **Last updated:** 07/11/2023