MEDICARE: SUN HEALTH CARE INC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1720876600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN HEALTH CARE INC

Provider Business Mailing Address
First Line	:	3990 W FLAGLER ST STE 406
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1644
Country	:	US
Telephone Number	:	305-456-3879
Fax Number	:	786-600-2567

Provider Business Practice Location Address
First Line	:	1790 SANS SOUCI BLVD
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-3206
Country	:	US
Telephone Number	:	305-993-4400
Fax Number	:	305-418-0838

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	LETICIA BERNAL LEON
Credential	:
Telephone Number	:	786-333-3530

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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