South Florida Sports and Preventive Medicine Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SOUTH FLORIDA SPORTS AND PREVENTIVE MEDICINE INC

Practice address

14601 SW 29TH St Ste 109
Miramar, FL 33027-4715

Phone

(954) 800-1991

Fax

(808) 731-8348

NPI assigned

Mar 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Guiteau, MDNPI 1720379753

Title

President

Phone

(516) 849-0072

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio Guiteau, MD

  • Sports Medicine (Family Medicine) Physician
  • Pembroke Pines, FL
  • NPI 1720379753
  Medicare reassignment NPD Authorized official
• Sandra Michelle Guiteau, NP

  • Family Nurse Practitioner
  • Sunrise, FL
  • NPI 1154044006
  Medicare reassignment NPD
• Biarda Villaverde, M.D.

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1982038444
  Medicare reassignment NPD

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1790246148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 109",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-800-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 109",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-800-1991",
            "fax_number": "808-731-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA SPORTS AND PREVENTIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "GUITEAU",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-849-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Premier Care LLC
• South Florida Services and Support Inc
• South Florida Speech Solutions
• South Florida Spine & Sports Specialists LLC
• South Florida Spine & Sports Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Wellness Services, Inc
• South Oaks Assisted Living Home LLC
• South Oaks Retirement, Inc
• Southeast Perinatal Associates, Inc

• Medical Specialty Clinic/Center in Miramar, FL
• Providers in Miramar, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.