Provider Demographics
NPI:1992098107
Name:SUNNY THERAPEUTIC SERVICES INC
Entity type:Organization
Organization Name:SUNNY THERAPEUTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-909-2102
Mailing Address - Street 1:1825 PONCE DE LEON BLVD
Mailing Address - Street 2:# 195
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4418
Mailing Address - Country:US
Mailing Address - Phone:305-909-2102
Mailing Address - Fax:305-647-2167
Practice Address - Street 1:1825 PONCE DE LEON BLVD
Practice Address - Street 2:# 195
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4418
Practice Address - Country:US
Practice Address - Phone:305-909-2102
Practice Address - Fax:305-647-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation