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

Therapy Sport Medical Corp

Organization General Practice Physician · NPI 1023392297

Therapy Sport Medical 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

6555 NW 36th St Ste 214
Virginia Gardens, FL 33166-6978 Not confirmed with CMS for 15 years — call before visiting
Phone: (305) 526-8229
Fax: (305) 526-8230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence HCC9145 (FL)

Record details

NPI number1023392297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hisela Castro — President · (305) 526-8229
NPI enumeratedOctober 5, 2011
Last updated in NPPESOctober 5, 2011
Mailing address6555 Nw 36th St, Suite 214, Virginia Gardens, FL 33166-6978

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