| Sunrise Redstone Pllc | |
|
16238 Redstone Way Odessa FL 33556-4668 | |
| (813) 822-0477 | |
| Not Available |
| Full Name | Sunrise Redstone Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16238 Redstone Way, Odessa, Florida |
| Authorized Official Name and Position | Brenda Manzanares (PRACTICE OWNER) |
| Authorized Official Contact | 8138220477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Redstone Pllc 4062 Cloud Hopper Way Lutz FL 33559-6933 Ph: (843) 338-0023 | Sunrise Redstone Pllc 16238 Redstone Way Odessa FL 33556-4668 Ph: (813) 822-0477 |
| NPI Number | 1124901368 |
|---|---|
| Provider Enumeration Date | 07/28/2025 |
| Last Update Date | 07/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124901368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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