Organization
SUNLIGHT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSIEL VELAZQUEZ (PRESIDENT)
(786) 800-8376
Entity
Organization
Contact information
Practice address
7225 NW 25TH ST, SUITE 217, MIAMI, FL 33122-1706
(786) 800-8376
(305) 477-6215
Mailing address
7225 NW 25TH ST, SUITE 217, MIAMI, FL 33122-1706
(786) 800-8376
(305) 477-6215
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME68512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7868008376
COMMERCIAL INSURANCES
FL
Enumeration date
05/03/2013
Last updated
05/03/2013
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