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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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