Organization
STATUS MED ASSISTANCE, LLC
Active
Other names
sunny medical center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANA BUBUCEA MD (PRESIDENT)
(305) 306-0000
Entity
Organization
Contact information
Practice address
17070 COLLINS AVE, 257, SUNNY ISLES BEACH, FL 33160-3635
(305) 306-0000
(305) 306-1111
Mailing address
17070 COLLINS AVE, 257, SUNNY ISLES BEACH, FL 33160-3635
(305) 306-0000
(305) 306-1111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME113594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006257100
—
FL
01
—
GJ2842
MEDICARE
FL
Enumeration date
08/06/2014
Last updated
08/06/2014
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