# SUNLIGHT MEDICAL GROUP

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

## Provider details

- **NPI number:** 1861837882
- **Authorized official:** OSIEL VELAZQUEZ (PRESIDENT)
- **Authorized official phone:** (786) 800-8376

## Contact information

- **Practice address:** 7225 NW 25TH ST, SUITE 217, MIAMI, FL 33122-1706
- **Practice address phone:** (786) 800-8376
- **Practice address fax:** (305) 477-6215
- **Mailing address:** 7225 NW 25TH ST, SUITE 217, MIAMI, FL 33122-1706
- **Mailing address phone:** (786) 800-8376
- **Mailing address fax:** (305) 477-6215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME68512 | FL | Yes |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 05/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7868008376 | COMMERCIAL INSURANCES | FL |