Organization Name: | SUNSHINE WALK- IN |
NPI Number: | 1003061581 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA GUPTA (OWNER) |
Mailing Address: | 3300 W Lake Mary Blvd Suite 220 Lake Mary |
State: | FL US |
Postal Code: | 327463570 |
Phone Number: | 4073217111 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | ME0073977 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |