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Organization
SUNSHINE RANCH LLC
Active
Organization
SUNSHINE RANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VICTORIA HERRERO MOT (DIRECTOR)
(786) 205-1191
Entity
Organization
Contact information
Practice address
17830 SW 280TH ST, HOMESTEAD, FL 33031-3321
(786) 205-1191
Mailing address
17830 SW 280TH ST, HOMESTEAD, FL 33031-3321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18556
FL
Other
Enumeration date
07/03/2017
Last updated
03/17/2018
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