Organization Name: | SUNSHINE MEDICAL HEALTH SERVICES INC |
NPI Number: | 1205119112 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OSVALDO PINO (PRESIDENT/OWNER) |
Mailing Address: | 4471 Nw 36th St Suite 204 Miami Springs |
State: | FL US |
Postal Code: | 331667285 |
Phone Number: | 7864994127 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2011 |
NPI Last Update Date: | 09/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME55442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |