Sport Medical Center Corp
NPI #1235421876 in Virginia Gardens, Florida
Provider Information
- NPI Number
- 1235421876
- Entity Type
- Organization
- Organization Name
- Sport Medical Center Corp
- Primary Specialty
- General Practice
- Enumeration Date
- May 13, 2011
- Last Updated
- May 13, 2011
Practice Location
- Address
- 6501 NW 36TH ST
- Address 2
- STE 302
- City
- Virginia Gardens
- State
- Florida
- ZIP Code
- 33166-6959
- Phone
- (305) 526-1599
Authorized Official
- Name
- HISELA CASTRO
- Title
- PRESIDENT
- Phone
- (305) 526-1599
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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