Organization
SOUTH SUN MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIO FERNANDEZ D.C. (OFFICER)
(305) 552-6820
Entity
Organization
Contact information
Practice address
2760 SW 97TH AVE, SUITE 101, MIAMI, FL 33165-2684
(305) 552-6820
Mailing address
2760 SW 97TH AVE, SUITE 101, MIAMI, FL 33165-2684
(305) 552-6820
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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