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Organization
SUNRISE RELAX HEALTH CARE CORP.
Active
Organization
SUNRISE RELAX HEALTH CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILFREDO FAJO LMT (PRESIDENT)
(786) 316-5546
Entity
Organization
Contact information
Practice address
636 SW 109TH AVE., SWEETWATER, FL 33174-1338
(305) 221-8500
(305) 221-8501
Mailing address
636 SW 109TH AVE., SWEETWATER, FL 33174-1338
(305) 221-8500
(305) 221-8501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTA-14895
FL
225700000X
Massage Therapist
Primary
MA-38546
FL
3747P1801X
Personal Care Attendant
CNA-68343
FL
Other
Enumeration date
10/03/2006
Last updated
02/09/2012
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