Healthcare Provider Details

I. General information

NPI: 1013840032
Provider Name (Legal Business Name): SUNNY SUBS GRILL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8581 NW SOUTH RIVER DR
MEDLEY FL
33166-7426
US

IV. Provider business mailing address

470 E 17TH ST
HIALEAH FL
33010-3251
US

V. Phone/Fax

Practice location:
  • Phone: 305-497-7397
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: DUKAKIS MENDEZ
Title or Position: OWNER
Credential:
Phone: 305-497-7397