Organization
SUNRISE MEDICAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA PARDINAS (OWNER)
(954) 323-8284
Entity
Organization
Contact information
Practice address
1761 W HILLSBORO BLVD STE 403, DEERFIELD BEACH, FL 33442-1563
(954) 323-8284
Mailing address
1761 W HILLSBORO BLVD STE 403, DEERFIELD BEACH, FL 33442-1563
(954) 323-8284
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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