| Sjz18 Llc | |
|
12651 W Sunrise Blvd Ste 102 Sunrise FL 33323-0906 | |
| (954) 888-8355 | |
| Not Available |
| Full Name | Sjz18 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12651 W Sunrise Blvd Ste 102, Sunrise, Florida |
| Authorized Official Name and Position | Sheryl Zayas (PROVIDER) |
| Authorized Official Contact | 3057941967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjz18 Llc 12651 W Sunrise Blvd Ste 102 Sunrise FL 33323-0906 Ph: (954) 888-8355 | Sjz18 Llc 12651 W Sunrise Blvd Ste 102 Sunrise FL 33323-0906 Ph: (954) 888-8355 |
| NPI Number | 1245707462 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 01/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245707462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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