| Sunflower Family Medicine Llc | |
|
20351 Old Cutler Rd Cutler Bay FL 33189-1831 | |
| (305) 217-1736 | |
| Not Available |
| Full Name | Sunflower Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20351 Old Cutler Rd, Cutler Bay, Florida |
| Authorized Official Name and Position | Jessica V Rodriguez (OWNER/APRN) |
| Authorized Official Contact | 3059157406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Family Medicine Llc 20520 Sw 84th Ave Cutler Bay FL 33189-2616 Ph: (305) 915-7406 | Sunflower Family Medicine Llc 20351 Old Cutler Rd Cutler Bay FL 33189-1831 Ph: (305) 217-1736 |
| NPI Number | 1215515838 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 0648689844 |
|---|---|
| Medicare Enrollment ID | O20210429000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215515838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jessica Vidal Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598238180 PECOS PAC ID: 6305189366 Enrollment ID: I20190515002583 |
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