Organization
SUN SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W MOYER M.D. (OWNER)
(863) 357-0045
Entity
Organization
Contact information
Practice address
245 NE 19TH DR, OKEECHOBEE, FL 34972-1933
(863) 357-0045
(863) 357-0041
Mailing address
245 NE 19TH DR, OKEECHOBEE, FL 34972-1933
(863) 357-0045
(863) 357-0041
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME102679
FL
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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