| Organization Name: | SUNSHINE DIAGNOSTIC IMAGING, INC |
| NPI Number: | 1265753271 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERSON RAYMOND (OWNER) |
| Mailing Address: | 4123 Arthurium Ave Lantana |
| State: | FL US |
| Postal Code: | 334623431 |
| Phone Number: | 5615036331 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2010 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | 37218 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |