MEDICARE: SUNNY SUBS GRILL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1013840032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY SUBS GRILL INC

Provider Business Mailing Address
First Line	:	470 E 17TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8581 NW SOUTH RIVER DR
Second Line	:
City	:	MEDLEY
State	:	FL
Zip	:	33166-7426
Country	:	US
Telephone Number	:	305-497-7397
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DUKAKIS MENDEZ
Credential	:
Telephone Number	:	305-497-7397

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “SUNNY SUBS GRILL INC ” Practice Location

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