Healthcare Provider Details

I. General information

NPI: 1629026810
Provider Name (Legal Business Name): SUNSET DEVELOPMENTAL SUPPORT SERVICES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9370 SW 72ND ST STE # 107
MIAMI FL
33173-5431
US

IV. Provider business mailing address

9370 SW 72ND ST STE # 107
MIAMI FL
33173-5431
US

V. Phone/Fax

Practice location:
  • Phone: 305-598-5333
  • Fax: 305-598-8100
Mailing address:
  • Phone: 305-598-5333
  • Fax: 305-598-8100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number679879996
License Number StateFL

VIII. Authorized Official

Name: MS. HAYDEE MACHADO MILIAN
Title or Position: DIRECTOR
Credential:
Phone: 305-598-5333