# MEDISUN 62 MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1184404923
- **Authorized official:** ALEXIS SCHLOETER (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (786) 350-5583

## Contact information

- **Practice address:** 180 NW 62ND ST, MIAMI, FL 33150-4543
- **Practice address phone:** (786) 350-5583
- **Practice address fax:** (786) 364-1979
- **Mailing address:** 180 NW 62ND ST, MIAMI, FL 33150-4543
- **Mailing address phone:** (786) 350-5583
- **Mailing address fax:** (786) 364-1979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2023
- **Last updated:** 09/29/2023