Provider Demographics
NPI:1023400025
Name:SUN THERAPY SERVICES INC
Entity Type:Organization
Organization Name:SUN THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDROSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-296-5433
Mailing Address - Street 1:6348 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4812
Mailing Address - Country:US
Mailing Address - Phone:786-296-5433
Mailing Address - Fax:215-586-2922
Practice Address - Street 1:6348 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4812
Practice Address - Country:US
Practice Address - Phone:786-296-5433
Practice Address - Fax:215-586-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service