Healthcare Provider Details

I. General information

NPI: 1073475760
Provider Name (Legal Business Name): SKY HOPE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11055 SW 186TH ST STE 104
CUTLER BAY FL
33157-6842
US

IV. Provider business mailing address

11055 SW 186TH ST STE 104
CUTLER BAY FL
33157-6842
US

V. Phone/Fax

Practice location:
  • Phone: 305-342-4893
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: YUDELKYS ZAMBRANA
Title or Position: OWNER
Credential:
Phone: 305-342-4893