# SUNDRY MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1780378802
- **Authorized official:** PENNINAH MUKIRI (MANAGER)
- **Authorized official phone:** (305) 763-1188

## Contact information

- **Practice address:** 4560 SW 152ND AVE, MIRAMAR, FL 33027-3360
- **Practice address phone:** (305) 763-1188
- **Mailing address:** 4560 SW 152ND AVE, MIRAMAR, FL 33027-3360
- **Mailing address phone:** (305) 763-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/05/2023