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General NPI Number Information
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NPI Number | 1669260741
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Entity Type | Organization
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Legal Business Name | SUN VIEW MEDICAL SERVICES PA
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 2903 STIRLING RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6503
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Country | US
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Telephone | 718-964-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 5630 BROOKFIELD CIR E
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6256
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Country | US
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Telephone | 917-863-8499
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SIMON FENSTERSZAUB
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Credential | DO
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Telephone | 718-964-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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