| Organization Name: | SUNRISE LASER & HORMONE INSTITUTE |
| NPI Number: | 1003167362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIKE ADAMS (OFFICE MANAGER) |
| Mailing Address: | 2500 N University Dr Suite 3 Sunrise |
| State: | FL US |
| Postal Code: | 333223003 |
| Phone Number: | 9547484302 |
| Fax Number: | 9547484304 |
| NPI Enumeration Date: | 09/26/2012 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |