# SUNSHINE DIAGNOSTIC & MEDICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043483142
- **Authorized official:** MARIO RAUL FRAGA (PRESIDENT)
- **Authorized official phone:** (305) 223-6640

## Contact information

- **Practice address:** 8550 W. FLAGLER ST, SUITE 104, MIAMI, FL 33144
- **Practice address phone:** (305) 223-6640
- **Practice address fax:** (305) 223-6639
- **Mailing address:** 8550 W FLAGLER ST, SUITE 104, MIAMI, FL 33144-2037
- **Mailing address phone:** (305) 223-6640
- **Mailing address fax:** (305) 223-6639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 07/09/2008