Organization
SUNSHINE ANESTHESIA & WELLNESS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOGIN ANTOINE MD (MEDICAL DIRECTOR)
(305) 836-1421
Entity
Organization
Contact information
Practice address
4997 SW 162ND AVE, MIRAMAR, FL 33027-4956
(305) 386-3967
(305) 386-3969
Mailing address
4997 SW 162ND AVE, MIRAMAR, FL 33027-4956
(305) 386-3967
(305) 386-3969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265702300
—
FL
Enumeration date
07/05/2019
Last updated
07/05/2019
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