# SUNRISE TELEMED PLLC

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

## Provider details

- **NPI number:** 1528641420
- **Authorized official:** CARMEN L CARDONA-ORTIZ MD (PRESIDENT)
- **Authorized official phone:** (248) 499-6590

## Contact information

- **Practice address:** 989 UNIVERSITY DR STE 102, PONTIAC, MI 48342-1885
- **Practice address phone:** (248) 499-6590
- **Mailing address:** 989 UNIVERSITY DR STE 102, PONTIAC, MI 48342-1885

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 04/29/2021