Provider Demographics
NPI:1093365181
Name:SUNCARE MEDICAL CORP
Entity type:Organization
Organization Name:SUNCARE MEDICAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:AZZATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-704-4867
Mailing Address - Street 1:16244 S MILITARY TRL STE 310
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6505
Mailing Address - Country:US
Mailing Address - Phone:855-704-4867
Mailing Address - Fax:855-611-4082
Practice Address - Street 1:16244 S MILITARY TRL STE 310
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6505
Practice Address - Country:US
Practice Address - Phone:855-704-4867
Practice Address - Fax:855-611-4082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies