MEDICARE: SUNFLOWER FAMILY MEDICINE LLC

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	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215515838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNFLOWER FAMILY MEDICINE LLC

Provider Business Mailing Address
First Line	:	20351 OLD CUTLER RD
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-1831
Country	:	US
Telephone Number	:	305-217-1736
Fax Number	:	305-675-9265

Provider Business Practice Location Address
First Line	:	20351 OLD CUTLER RD
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-1831
Country	:	US
Telephone Number	:	305-217-1736
Fax Number	:	305-675-9265

Authorized Official
Title or Position	:	OWNER/APRN
Name	:	JESSICA V RODRIGUEZ
Credential	:	APRN
Telephone Number	:	305-915-7406

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	05/14/2026

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