Provider Demographics
NPI:1184335846
Name:SUNRISE TELEHEALTH, PLLC
Entity type:Organization
Organization Name:SUNRISE TELEHEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ HEALTHCARE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DELVY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-571-0787
Mailing Address - Street 1:16119 FLORETS DR
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-4020
Mailing Address - Country:US
Mailing Address - Phone:606-571-0787
Mailing Address - Fax:606-202-7824
Practice Address - Street 1:7901 4TH ST N STE 300
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4399
Practice Address - Country:US
Practice Address - Phone:787-338-4007
Practice Address - Fax:606-202-7824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty