Organization
SUNCARE MEDICAL CENTER LLC
Active
Other names
SUNCARE RESEARCH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
YUDAISY BARBARA HERNANDEZ (MGR)
(305) 489-9090
Entity
Organization
Contact information
Practice address
1782 W FLAGLER ST, MIAMI, FL 33135-2017
(305) 489-9090
(305) 998-4963
Mailing address
1782 W FLAGLER ST, MIAMI, FL 33135-2017
(305) 489-9090
(305) 998-4963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WM1400X
Nurse Massage Therapist (NMT)
—
—
1744R1102X
Research Study Specialist
—
—
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121452100
—
FL
Enumeration date
09/23/2019
Last updated
10/09/2024
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