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Organization

SUNSHINE DIAGNOSTIC & MEDICAL SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIO RAUL FRAGA (PRESIDENT)
(305) 223-6640
Entity
Organization

Contact information

Practice address
8550 W. FLAGLER ST, SUITE 104, MIAMI, FL 33144
(305) 223-6640
(305) 223-6639
Mailing address
8550 W FLAGLER ST, SUITE 104, MIAMI, FL 33144-2037
(305) 223-6640
(305) 223-6639

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
FL

Other

Enumeration date
04/09/2008
Last updated
07/09/2008
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