Provider Demographics
NPI:1073729786
Name:SUNHEALTH MEDICAL & REHABILITATION CENTER
Entity Type:Organization
Organization Name:SUNHEALTH MEDICAL & REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-689-7131
Mailing Address - Street 1:PO BOX 266654
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-6654
Mailing Address - Country:US
Mailing Address - Phone:954-689-7131
Mailing Address - Fax:954-689-7132
Practice Address - Street 1:4066 EVANS AVE
Practice Address - Street 2:SUITE 21
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9384
Practice Address - Country:US
Practice Address - Phone:954-689-7131
Practice Address - Fax:954-689-7132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care