Organization
HEALTHSUN MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA N GONZALEZ MD (MEDICAL DIRECTOR)
(786) 420-5503
Entity
Organization
Contact information
Practice address
13903 NW 67TH AVE STE 420, MIAMI LAKES, FL 33014-2939
(786) 420-5503
(786) 420-5504
Mailing address
13903 NW 67TH AVE STE 420, MIAMI LAKES, FL 33014-2939
(786) 420-5503
(786) 420-5504
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME106369
FL
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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