Healthcare Provider Details

I. General information

NPI: 1063337210
Provider Name (Legal Business Name): SUNPOINT SURGICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6211 NW 34TH AVE
FORT LAUDERDALE FL
33309-1602
US

IV. Provider business mailing address

6211 NW 34TH AVE
FORT LAUDERDALE FL
33309-1602
US

V. Phone/Fax

Practice location:
  • Phone: 954-369-8508
  • Fax:
Mailing address:
  • Phone: 954-369-8508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: SANDRA L FREYMUTH
Title or Position: MANAGING MEMBER
Credential:
Phone: 954-369-8508