Organization
SUNSHINE OF MIAMI LAKES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN N LY (PRESIDENT)
(305) 846-3689
Entity
Organization
Contact information
Practice address
7850 NW 146TH ST STE 503, MIAMI LAKES, FL 33016-1516
(954) 446-5440
Mailing address
7850 NW 146TH ST STE 503, MIAMI LAKES, FL 33016-1516
(305) 846-3689
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
05/03/2025
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