South Florida Sports Medicine & Primary Care, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME95141 Issued in FL

Legal business name

SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A.

Practice address

7310 W McNab Rd Ste 107
Tamarac, FL 33321-5327

Phone

(954) 718-2230

Fax

(954) 718-2232

NPI assigned

Jun 23, 2014

Last updated

Jan 13, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ronaldo A Calonje, M.D.NPI 1104977362

Title

Physician / Owner

Phone

(954) 718-2230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronaldo A Calonje, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Tamarac, FL
  • NPI 1104977362
  Medicare reassignment Authorized official
• Leeann Darden Muncy, PA

  • Physician Assistant
  • Parkland, FL
  • NPI 1871065920
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1053726612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 W MCNAB RD STE 107",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215327",
            "telephone_number": "954-718-2230",
            "fax_number": "954-718-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 W MCNAB RD STE 107",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215327",
            "telephone_number": "954-718-2230",
            "fax_number": "954-718-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "CALONJE",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "954-718-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME95141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Neurosurgical Institute Inc
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• South Florida Primary Care L.L.C.
• South Florida Sport & Medical Therapy, LLC
• South Florida Surgical Specialist, LLC
• South Florida Surgical Specialists, LLC
• Southern Imaging Associates, Inc.
• Speech Reading Connection
• Sydia Spence, NURSE PRACTITIONER

• Primary Care Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.