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General NPI Number Information
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NPI Number | 1134070113
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Entity Type | Organization
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Legal Business Name | SUNRISE SMILES PEDIATRIC CARE LLC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 16251 N CLEVELAND AVE UNIT 12-13
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-2176
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Country | US
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Telephone | 239-387-2188
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Fax | 239-360-8916
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Provider Business Mailing Address
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Address Line | 16251 N CLEVELAND AVE STE 12
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-2176
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Country | US
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Telephone | 239-387-2188
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Fax | 239-360-8916
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. YAIMA DELGADO
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Credential | APRN
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Telephone | 239-387-2188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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