MEDICARE: SUN VIEW MEDICAL SERVICES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1669260741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN VIEW MEDICAL SERVICES PA

Provider Business Mailing Address
First Line	:	5630 BROOKFIELD CIR E
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-6256
Country	:	US
Telephone Number	:	917-863-8499
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 STIRLING RD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-6503
Country	:	US
Telephone Number	:	718-964-6161
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SIMON FENSTERSZAUB
Credential	:	DO
Telephone Number	:	212-734-6621

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	04/16/2026

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