Organization
SUNRISE PEDIATRIC CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HANDEN (OWNER)
(786) 393-0315
Entity
Organization
Contact information
Practice address
6219 WOODHAVEN VILLAGE DR, PORT ORANGE, FL 32128-6850
(786) 393-0315
Mailing address
6219 WOODHAVEN VILLAGE DR, PORT ORANGE, FL 32128-6850
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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