Healthcare Provider Details

I. General information

NPI: 1184452898
Provider Name (Legal Business Name): SUNNY MEDICAL GROUP CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 W. PLAGER ST STE #304.
MAIMI FL
33134
US

IV. Provider business mailing address

3990 W. PLAGER ST STE #304.
MAIMI FL
33134
US

V. Phone/Fax

Practice location:
  • Phone: 305-984-8997
  • Fax: 786-558-1992
Mailing address:
  • Phone: 305-984-8997
  • Fax: 786-558-1992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CECILE GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 305-984-8997