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Organization
SUN COAST ALF
Active
Organization
SUN COAST ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIA EDELSA IZNAGA RN (OWNER)
(786) 357-0099
Entity
Organization
Contact information
Practice address
9111 SW 28TH TER, MIAMI, FL 33165-3220
(786) 357-0099
(305) 554-0823
Mailing address
9111 SW 28TH TER, MIAMI, FL 33165-3220
(786) 357-0099
(305) 554-0823
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7958
FL
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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