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SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A.
NPI 1053726612
Clinic/Center - Primary Care in Tamarac, FL

Active since June 23, 2014
7310 W MCNAB RD STE 107, TAMARAC, FL 33321(954) 718-2230(954) 718-2232 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A. (NPI 1053726612) is a healthcare organization registered as a primary care in Tamarac, Florida and active in the NPI registry since June 2014. The organization lists Ronaldo A Calonje, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1053726612
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTH FLORIDA SPORTS MEDICINE & PRIMARY CARE, P.A.
Location Address7310 W MCNAB RD STE 107Tamarac, FL 33321-5327
Mailing Address7310 W Mcnab Rd Ste 107Tamarac, FL 33321-5327 · (954) 718-2230 · Fax (954) 718-2232
Phone(954) 718-2230
Fax(954) 718-2232
Organization SubpartNo
Authorized OfficialRonaldo A CalonjePhysician / Owner · (954) 718-2230
Enumeration DateJune 23, 2014
Last NPPES UpdateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1053726612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME95141
7310 W MCNAB RD STE 107, Tamarac, FL 33321
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Florida Sports Medicine & Primary Care, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Florida Sports Medicine & Primary Care, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronaldo Calonje, M.D.
Family Practice
NPI 1104977362
7401 N UNIVERSITY DR SUITE 206
Tamarac, FL 33321
(954) 718-2230
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Florida Sports Medicine & Primary Care, P.A.'s NPI number?

The NPI number for South Florida Sports Medicine & Primary Care, P.A. is 1053726612. It was assigned to this organization in the NPPES registry on June 23, 2014.

Where is South Florida Sports Medicine & Primary Care, P.A. located?

South Florida Sports Medicine & Primary Care, P.A. is located at 7310 W Mcnab Rd Ste 107, Tamarac, FL 33321. The listed phone number is (954) 718-2230.

What is South Florida Sports Medicine & Primary Care, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is South Florida Sports Medicine & Primary Care, P.A. enrolled in Medicare?

Yes. South Florida Sports Medicine & Primary Care, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Florida Sports Medicine & Primary Care, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to South Florida Sports Medicine & Primary Care, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Florida Sports Medicine & Primary Care, P.A. was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.