Organization · NPI-2

Guidewell Sanitas I, LLC

Registered Nurse, Diabetes Educator · Doral, FL

NPI number1073106233

StatusActive

Last updated in NPPESFeb 6, 2024

Details

NPI: 1073106233
Entity type: Organization (NPI-2)
Legal business name: Guidewell Sanitas I, LLC
Organization subpart: No
Enumeration date: Feb 18, 2021
Certification date: Feb 6, 2024
Last updated: Feb 6, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WD0400X	Registered Nurse, Diabetes Educator	–	–	Yes

Other names

Sanitas (Doing Business As)

Practice location

2000 Nw 87th Ave Ste 101&102
Doral, FL 33172-2654

Phone 305-718-9138

Mailing address

8400 Nw 33rd St Ste 201
Doral, FL 33122-1937

Phone 786-882-2869 · Fax 305-675-2430

Authorized official

Juan Diego Estrada
Ceo
7868822869

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