Organization
SUNSHINE WELLNESS GROUP LLC
Active
Other names
Homosassa Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MOEAZ MAZHIR (PRESIDENT)
(936) 827-0666
Entity
Organization
Contact information
Practice address
8464 W AQUADUCT ST, HOMOSASSA, FL 34448-2724
(936) 827-0666
Mailing address
PO BOX 5, MOUNT DORA, FL 32756-0005
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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