| Sunrise Medical Group Inc | |
|
4925 Sheridan St 200 Hollywood FL 33021-2829 | |
| (954) 981-3850 | |
| (954) 981-3889 |
| Full Name | Sunrise Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4925 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Giovanne Zygala (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9549561966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medical Group Inc 6245 N Federal Hwy Suite 300 Fort Lauderdale FL 33308-1998 Ph: (954) 956-1966 | Sunrise Medical Group Inc 4925 Sheridan St 200 Hollywood FL 33021-2829 Ph: (954) 981-3850 |
| NPI Number | 1912957697 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 12/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912957697 | NPI | - | NPPES |
| 258676203 | Medicaid | FL | |
| 258676205 | Medicaid | FL | |
| 258676201 | Medicaid | FL | |
| 258676204 | Medicaid | FL | |
| 258676200 | Medicaid | FL | |
| 258676202 | Medicaid | FL | |
| 258676206 | Medicaid | FL |
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