Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sport Medical Center Corp

Organization General Practice Physician · NPI 1235421876

Sport Medical Center Corp is a General Practice Physician in Virginia Gardens, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6501 NW 36th St Ste 302
Virginia Gardens, FL 33166-6959
Phone: (305) 526-1599
Fax: (305) 526-1699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence HCC9156 (FL)

Record details

NPI number1235421876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hisela Castro — President · (305) 526-1599
NPI enumeratedMay 13, 2011
Last updated in NPPESMay 13, 2011
Mailing address6501 Nw 36th St, Ste 302, Virginia Gardens, FL 33166-6959

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