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
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002398700
MEDICAID - ALEXANDER J. BERTOT, M.D.
FL
01
—
002462700
MEDICAID - DAVID SHENASSA, M.D.
FL
01
—
002602400
MEDICAID - ERIC D. BRONSON, PA-C
FL
01
—
002603000
MEDICAID - PAUL R. BUCHANAN, PA-C
FL
01
—
002615000
MEDICAID - ALFRED A. DESIMONE, M.D.
FL
05
—
002876700
—
FL
01
—
108857600
MEDICAID - SYDNEE R. BRIN, PA-C
FL
01
—
118651300
MEDICAID - JESSE T. CROSNO, PA-C
FL
01
—
119205700
MEDICAID - PEDRO A. RICART HOFFIZ, M.D.
FL
01
—
1558022426
MEDICAID - HANNA E. HEMMATI, PA-C
FL
Enumeration date
01/26/2006
Last updated
09/24/2024
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