Organization
SUNCARE MEDICAL CENTER LLC
Active
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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