SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A. (NPI# 1053726612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053726612 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A. |
| Practice Address |
7401 N University Dr Suite 206 Tamarac FL 33321-2979 |
| Practice Telephone | 9547182230 |
| Practice Fax Number | 9547182232 |
| Mailing Telephone | 9547182230 |
| Mailing Fax Number | 9547182232 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | DR. RONALDO A CALONJE (PHYSICIAN / OWNER) |
| Authorized Official Telephone | 9547182230 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME95141 | FL | Ambulatory Health Care Facilities |
| Street Address |
7401 N UNIVERSITY DR SUITE 206 |
| City | TAMARAC |
| State | FL |
| Zip Code | 33321-2979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093799512 | George Alexander Lustig | Internal Medicine | 7401 N University Dr, Tamarac, FL 33321-2979 | 2005-11-30 |
| 1871040741 | Broward Ophthalmology Group | Ophthalmology | 7401 N University Dr, Suite 201, Tamarac, FL 33321-2979 | 2016-09-08 |
| 1205257771 | Rma of Tamarac LLC | Internal Medicine | 7401 N University Dr, Suite 105, Tamarac, FL 33321-2979 | 2013-12-30 |
| 1619229275 | Richter & Sheinbaum, M.d.,p.a. | Internal Medicine | 7401 N University Dr, Suite 204, Tamarac, FL 33321-2979 | 2012-10-07 |
| 1376849679 | Alan Gruskin Do Pa | Physical Medicine & Rehabilitation | 7401 N University Dr, Suite 106, Tamarac, FL 33321-2979 | 2011-02-03 |
| 1407169758 | Bb&h Pain Management LLC | Clinic/Center | 7401 N University Dr, Suite 206, Tamarac, FL 33321-2979 | 2010-07-15 |
| 1013156538 | Andrew G Logan Md Pa | Ophthalmology | 7401 N University Dr, Suite 201, Tamarac, FL 33321-2979 | 2009-02-05 |
| 1124279021 | Nottingham&anenberg, P.a. | Dentist | 7401 N University Dr, Tamarac, FL 33321-2979 | 2008-10-09 |
| 1306037221 | Physician Health Care System, LLC | Family Medicine | 7401 N University Dr, Suite 105, Tamarac, FL 33321-2979 | 2007-08-06 |
| 1104977362 | Ronaldo A Calonje | Family Medicine | 7401 N University Dr, Suite 206, Tamarac, FL 33321-2979 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1588204333 | Md Now Medical Centers Inc | Clinic/Center | 5817 N University Dr, Tamarac, FL 33321 | 2020-01-09 |
| 1992356919 | Ideal Smiles Dental Care | Clinic/Center | 6536 N. University Drive, Tamarac, FL 33321 | 2019-09-20 |
| 1447725551 | Keron Andrea Lee Cameron | Nurse Practitioner | 7961 Nw 90th Ave, Tamarac, FL 33321 | 2018-10-05 |
| 1134603681 | Sandra Julieth Gomez | Behavior Technician | 2865 Sw 16th Street Apt 1, Fort Lauderdale, FL 33321 | 2018-09-20 |
| 1396244646 | Coral Springs Hyperberic Oxygen and Wound Care Center LLC | Clinic/Center | 8333 W Mcnab, 107, Tamarac, FL 33321 | 2018-02-01 |
| 1124542741 | Franklyn Internal Medicine, LLC | Hospitalist | 7201 North University Dr, Tamarac, FL 33321 | 2017-07-26 |
| 1144742792 | Luz Natalia Franco Taveras | Dentist | 7300 W Mcnab Rd Ste 115, Tamarac, FL 33321 | 2017-07-14 |
| 1154861185 | Judith Ann Jacobs | Marriage & Family Therapist | 8400 N University Dr Ste 209, Tamarac, FL 33321 | 2017-02-23 |
| 1326584970 | Nelly Foeman | Behavior Technician | 5959 Royal Way, Tamarac, FL 33321 | 2017-01-06 |
| Find all providers in zip 33321 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821347758 | Dawn Michele Horowitz | Clinic/Center | 8901 Nw 79th St, Tamarac, FL 33321-1553 | 2012-09-06 |
| 1831431683 | Morris Antzelevitch, Md Pa | Clinic/Center | 7351 W Oakland Park Blvd, Suite 105, Tamarac, FL 33319-7107 | 2013-03-20 |
| 1619231339 | Pamela A. Parzynski, D.o, P.a | Clinic/Center | 6730 N University Dr, Tamarac, FL 33321-4013 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122337 | Life Line Medical Group Inc | Clinic/Center | 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 | 2020-10-20 |
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1205441615 | Washington Hills Primary Care | Clinic/Center | 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 | 2020-09-11 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.