Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sport Medical Center Corp

Organization General Practice Physician · NPI 1235421876

Sport Medical Center Corp provides General Practice Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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