| Sunny Medical Pl, Llc. | |
|
11183 S Orange Blossom Trl Suite 204d Orlando FL 32837-9402 | |
| (407) 850-0103 | |
| (407) 850-9901 |
| Full Name | Sunny Medical Pl, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11183 S Orange Blossom Trl, Orlando, Florida |
| Authorized Official Name and Position | Emilia Vives (MANAGER) |
| Authorized Official Contact | 4078500103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Medical Pl, Llc. 11183 S Orange Blossom Trl Suite 204d Orlando FL 32837-9402 Ph: (407) 850-0103 | Sunny Medical Pl, Llc. 11183 S Orange Blossom Trl Suite 204d Orlando FL 32837-9402 Ph: (407) 850-0103 |
| NPI Number | 1336249606 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 10/16/2007 |
| Medicare PECOS PAC ID | 4082619069 |
|---|---|
| Medicare Enrollment ID | O20101029000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336249606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
| Provider Name | Emilia D Vives |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346285293 PECOS PAC ID: 3577569052 Enrollment ID: I20101029001045 |
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