Organization
SUNLITE MEDICAL ASSOCIATES INC
Active
Organization
SUNLITE MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO M GUALA M.D. (PRESIDENT)
(305) 822-0068
Entity
Organization
Contact information
Practice address
4811 W 4TH AVE, HIALEAH, FL 33012-3939
(305) 822-0068
(305) 819-4445
Mailing address
4811 W 4TH AVE, HIALEAH, FL 33012-3939
(305) 822-0068
(305) 819-4445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME97042
FL
207RI0011X
Interventional Cardiology Physician
ME97042
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME97042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276796100
—
FL
Enumeration date
09/20/2006
Last updated
03/07/2016
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