Healthcare Provider Details

I. General information

NPI: 1427699107
Provider Name (Legal Business Name): SUNCARE THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 10/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 GRANT PALMS DR
PEMBROKE PINES FL
33027
US

IV. Provider business mailing address

15524 NW 77TH CT
MIAMI LAKES FL
33016
US

V. Phone/Fax

Practice location:
  • Phone: 305-231-5266
  • Fax:
Mailing address:
  • Phone: 305-231-5266
  • Fax: 305-231-5264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASTRID ARRIETA
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-231-5266