Organization
SUNRISE MEDICAL OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A OLIVA (PRESIDENT)
(305) 207-9041
Entity
Organization
Contact information
Practice address
2500 SW 107TH AVE, SUIT #48, MIAMI, FL 33165-2470
(305) 207-9041
(305) 207-9043
Mailing address
2500 SW 107TH AVE, SUIT #48, MIAMI, FL 33165-2470
(305) 207-9041
(305) 207-9043
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1184776494
FL
Other
Enumeration date
01/17/2007
Last updated
11/09/2009
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