Organization
GUIDEWELL SANITAS I, LLC
Active
Parent organization
GUIDEWELL SANITAS I, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUIDEWELL SANITAS I, LLC
Authorized official
JUAN DIEGO ESTRADA MD (PRESIDENT)
(786) 882-2869
Entity
Organization
Contact information
Practice address
4850 W OAKLAND PARK BLVD STE 136, LAUDERDALE LAKES, FL 33313-7277
(844) 665-4827
Mailing address
8400 NW 33RD ST STE 201, DORAL, FL 33122-1937
(786) 882-2869
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
02/06/2024
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